Characterization of HCO3/ CO 2 pool sizes and kinetics in infants
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The first bicarbonate pool sizes and kinetic data necessary for the interpretation of substrate oxidation studies have been determined in six fed, nonacidotic infants, ages 2.5 to 5 months. Following an intravenous bolus of NaH 13CO3(50 mol/kg), breath samples were collected over 240 min for the analysis of breath 13CO2. Each breath 13CO 2 disappearance curve was fitted to a multicompartmental bicarbonate model previously derived in adults. The mean sizes of the three bicarbonate pools were: 7.4 0.8 mmol/kg (central pool), 15.1 4.8 mmol/kg (rapidly exchanging peripheral pool), and 8.8 3.5 mmo/kg (slowly exchanging peripheral pool). The mean percentage dose recovery was 57 10%. The pool sizes suggested that extensive metabolic exchange of carbon between HCO 3 and organic metabolites occurred in the infant. 1985 International Pediatric Research Foundation, Inc.