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The Dependent Variable

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Rebuilding cardiovascular physiology from first principles.

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Latest Issues

Acid–base, Part 3: A question of interpretation

Someone hands you a blood gas. The standard base excess is −8.

What caused it?

Part 1 took us through H⁺, buffers and the first reading of a blood gas. Part 2 went deeper into the chemistry and explored how the composition of plasma chang...

9 days ago
4

Acid–base, Part 2: A question of independence

Stewart, bicarbonate and who’s actually in charge.

In Part 1, we followed molecules picking up and releasing H⁺. We saw how those exchanges settle at a balance, how the tiny amount of H⁺ left free gives us the pH, and how Henderson–Hasselb...

16 days ago
6
Paid

Acid–base, Part 1: A question of balance

When I was a brand-new ICU trainee, around 20 years ago, I was given a photocopied article about Stewart’s approach to acid–base physiology.

It was a long article. I understood some of it, recognised that there was something important in t...

22 days ago
23

The Afterload Problem

Afterload is usually taught as “the load the heart pumps against.”

It sounds straightforward until you ask what that load actually is.

Arterial pressure? Systemic vascular resistance? Aortic impedance? Effective arterial elastance? Ventri...

a month ago
18
2

The Pressure That Wasn’t Measured

A brief extra post outside my usual schedule. I came across this paper while reviewing the recent haemodynamics literature and thought it was too relevant to leave until later. It connects directly with two themes I’ve been exploring here...

a month ago
9

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  • The Dependent Variable

    Rebuilding cardiovascular physiology from first principles.

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