WO1995025993A1

WO1995025993A1 - Acid-base equilibrium slide-rule

Info

Publication number: WO1995025993A1
Application number: PCT/EP1995/001057
Authority: WO
Inventors: Lucio Rufolo
Original assignee: Seleburni Sas; Lucio Rufolo
Priority date: 1994-03-21
Filing date: 1995-03-21
Publication date: 1995-09-28
Also published as: ITNA940010A0; EP0752126A1; DE69504820T2; US5753896A; ITNA940010A1; ES2124578T3; DE69504820D1; ATE171285T1; EP0752126B1

Abstract

The present invention indicates how it is possible in a very fast manner and with absolute precision to define the state of the acid-base equilibrium through use of a slide-rule, that allows for, once the numerical values of the haemogasanalytical parameters have been established on the frontal face of the rule, to read, by way of a combination of symbols and colours, on the rear face of the rule the acid-base equilibrium corresponding to the obtained combination.

Description

ACID-BASE EQUILIBRIUM SLIDE-RULE

DESCRIPTION

The state of the acid-base equilibrium (E.A.B.) is information which is of great importance in medicine, inasmuch E.A.B. alterations, if not rapidly and appropriately corrected, can result in being lethal for the patient. At the actual moment in time, in literature and in common use, only complicated alignment charts exist which permit the more experienced doctors to find directions in the diagnostic sense within such a complicated chapter of physiopathology such as E.A.B. As is known, the haemogasanalytical parameters necessary for the definition of the state of E.A.B. are essentially three: pH, partial pressure of carbon dioxide (PaC02) and bicarbonate ion (HCO3).

With the acid-base equilibrium slide-rule the state of E.A.B. is made possible from the knowledge of numerical values of the said three parameters obtained by way of a normal haemogasanalytical exam. The E.A.B. slide-rule consists, in fact, of three cursors, on which according to a graded scale the numerical values of the pH, the ion HCO3 and of the PaCθ2 are indicated. More precisely the E.A.B. slide-rule consists of an outer frame, within which the three cursors slide, which has a frontal face or frontal-rule and a rear face or rear-rule. The frontal-rule is made up of a transparent material that covers the front of the outer frame within which the three cursors slide, allowing in such way a perfect vision of the frontal face of the actual cursors. As is illustrated in figure 1 of table 1 (enclosed) such frontal-rule of a transparent material has, at the height of each cursor and in correspondence with each extremity of the same, a semicircular cut that allows for holding between two fingers the cursor for its movement within the groove towards the right or the left. On the frontal-rule (figure 1 of the enclosed table 1) the frontal faces of the three cursors, by way of the aforementioned transparent material, are therefore made visible, that from the from the top towards the bottom are contained in corresponding grooves according to the order: pH, HCO3, PaCθ2. The pH scale varies from a numerical value of 7,00 to one of 8,50 according to a centesimal subdivision corresponding to 7,00-7,10-7,20- 7,30-7,40-7,50-7,60-7,70-7,80-7,90-8,00-8,10-8,20-8,30-8,40-8,50. The second cursor is that of the ion HCO3: the graded scale varies from 5 to 75 according to a unitary subdivision (5,6,7,etc). The numerical subdivisions corresponding to 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70 and 75 are indicated. The third cursor is that of the PaCθ2: The graded scale varies from a numerical value of 10 to one of 130 according to a unitary subdivision (10,11,12,etc). The numerical subdivisions corresponding to 10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 110, 120 and 130 are indicated. The outer frame, within which the three cursors slide, can be of any material: it is important that, as illustrated in figure 1 of the enclosed table 1, in correspondence to the centre of the slide-rule four line segments are marked being perpendicularly perfect and in line one with the other. This allows for, once the numerical values by way of arterial haemogasanalysis of the three aforementioned cursors are known, sliding the three cursors in one of the two senses (i.e. left or right, and each cursor independently from the other two) so as to have the three numerical values of the pH, HCO3 and PaCθ2 perfectly aligned one above the other in correspondence with the segments of the median line. Figure 2 of table 1 (enclosed) illustrates the rear face of the three aforementioned cursors. The pH numerical values comprising 7,37 and 7,43 (that constitute the normal range) are indicated on the rear of the cursor by the symbol =. Values being equal to or lower than 7,36 to 7,00 are indicated on the rear of the cursor (right hand side of figure 2) by downward pointing arrows. Vice- versa, numerical values being equal to or higher than 7,44 to 8,50 are indicated on the rear of the cursor (left hand side of figure 2) by upward pointing arrows. Concerning the cursor of the ion HCO3, the numerical values comprising 22 to 26, which correspond to the normal range, on the rear of the cursor, as indicated in figure 2 of the enclosed table 1, correspond to a black diamond. HCO3 numerical values being equal to or lower than 21 correspond on the rear of the cursor (right hand side of figure 2) to the symbol <. For

HCO3 numerical values being equal to or higher than 26 on the rear of the cursor (left hand side of figure 2) correspond to the symbol >. Concerning the PaCO2, numerical values comprising 36 to 44, which is the normal range, correspond on the rear of the cursor (figure 2 of table 1) to the colour yellow.

As it is not possible to use colours in the enclosed table of figures, in the corresponding area of figure 2 the word yellow is used. For PaCθ2 numerical values being equal to or lower than 35 to 10 correspond on the rear of the cursor (right hand side of figure 2) to the colour red. Due to the impossibility of using colours in the table, in the corresponding area of figure 2 the word red is used. For PaCθ2 numerical values being equal to or higher than 45 to 1 0 correspond on the rear of the cursor (left hand side of figure 2) to the colour blue. As it is not possible to use colours in the enclosed table of figures, in the corresponding area of figure 2 the word blue is used. Figure 3 of the enclosed table 1 corresponds to the rear face of the slide- rule or rear- rule, that is applied to the rear of the outer frame within which the three cursors slide. It has at the height of each cursor (pH, HCO3 and PaCθ2) and in correspondence with each extremity of the same, a semicircular cut that allows for holding between two fingers the cursor for its movement within the grooves towards the right or the left. Moreover, the rear face of the slide-rule has, as illustrated in figure 3 of the enclosed table 1, in the central area three windows, arranged one above the other in a perpendicular sense. In such three windows the symbols and colours appear that correspond respectively, proceeding from the top to the bottom, to the numerical values of the pH, HCO3 and PaCθ2. Therefore, according to the numerical values of such three parameters, which are expressed on the rear face of the slide-rule according to the indications just described, in the windows of the rear face of the slide-rule appear the respective symbols and colours. The three colours (yellow, red and blue) are fundamental, as are the symbols, in diagnosing the state of the E.A.B. Therefore, as in figure 3 of the enclosed table 1 it is not possible to use colours, in the key notes represented on the rear face of the slide-rule in the squares of the possible combinations within which colours should be present said colour is indicated with a letter: G. stands for yellow, B. stands for blue, R. stands for red. As it is possible to see from figure 3 of the enclosed table 1, on the rear face of the slide-rule all the possible combinations of symbols and colours are indicated, corresponding to the state of equilibrium of acid-base that may be found in numerous clinical situations. Therefore, the rear-rule allows for the display of the symbols and colours that appear in the three central windows and to compare these combinations with those indicated in the key notes, in which every possible combination corresponds to a different state of E.A.B. From the combinations of the symbols and colours corresponding to the numerical values of the pH, HCO3 and PaCO2 the following conditions, as indicated in the key notes of figure 3 of the enclosed table 1, are possible: EAB IN THE NORM - ACUTE RESPIRATORY ACIDAEMIA - RESPIRATORY ACIDAEMIA IN A PARTIAL COMPENSATION PHASE - COMPENSATED RESPIRATORY ACIDOSIS - ACUTE RESPIRATORY ALKALAEMIA - RESPIRATORY ALKALAEMIA IN A PARTIAL COMPENSATION PHASE - COMPENSATED RESPIRATORY ALKALOSIS - ACUTE METABOLIC ACIDAEMIA - METABOLIC ACIDAEMIA IN A PARTIAL COMPENSATION PHASE - COMPENSATED METABOLIC ACIDOSIS - ACUTE METABOLIC ALKALAEMIA - METABOLIC ALKALAEMIA IN A PARTIAL COMPENSATION PHASE - COMPENSATED METABOLIC ALKALOSIS - MIXED ACIDAEMIA (METABOLIC AND RESPIRATORY) - MIXED ALKALAEMIA (METABOLIC AND RESPIRATORY) - RESPIRATORY ACIDOSIS AND METABOLIC ALKALOSIS - METABOLIC ACIDOSIS AND RESPIRATORY ALKALOSIS. Finally, a very important advantage of the described slide-rule of E.A.B. is its great level of practical use. In fact, from the dimensions of the figures of the enclosed table 1 it is understood that the dimensions of the slide-rule, in full respect of the perfect readability, are such to allow its easy access in a pocket of a medical overall. It is therefore of simple use, of perfect readability and of great practical use in relation to its dimensions.

Claims

1. Slide-rule of acid-base equilibrium, comprising an outer frame within which three cursors slide, on a first face of which, the numerical values of the pH, ion HCO3 and PaCO2, are indicated according to a graded scale, while on the second face of each of the same cursors symbols and/or colours are indicated; the outer frame has on a first face three indexes and on a second three windows; moving the three cursors so as that in the first face of the slide-rule, in correspondence to said indexes, the values of the pH, ion HCO3 and PaCθ2 are readable, on the second face of the slide-rule, through said windows, three of said symbols and/or colours are visible; on the second face of the slide-rule a table containing all the possible combinations of the three symbols/colours and comparing such table with the combination read through the three windows the diagnosis of the acid-base equilibrium is immediately obtained.

2. Slide-rule of acid-base equilibrium, according to claim 1, characterised in that on the second face of the pH cursor a series of upward pointing arrows, one or more equal signs (=), a series of downward pointing arrows are indicated.

3. Slide-rule of acid-base equilibrium, according to claim 1, characterised in that on the second face of the ion HCO3 cursor a series of less than symbols (<), one or more diamonds, a series of greater than symbols (>) are indicated.

4. Slide-rule of acid-base equilibrium, according to claim 1, characterised in that on the second face of the PaCO2 cursor a blue colour zone, a yellow colour zone and a red colour zone appear.

5. Slide-rule of acid-base equilibrium, according to claim 1, characterised in that the frontal face of the outer frame of the slide-rule is made of a transparent material that covers the sliding cursors.

6. Slide-rule of acid-base equilibrium, according to claim 1, characterised in that the frontal face of said outer frame of the slide-rule has on its sides, at the height of each cursor and in correspondence of the extremities of the same, a semicircular cut which allows for holding the cursor between two fingers and to carry out a movement of the same towards the left or right within the outer frame.

7. Slide-rule of acid-base equilibrium, according to claim 1, characterised in that said table indicated on the second face of the slide-rule has a series of combinations, each of three symbols, one of the first cursor, one of the second cursor and one of the third cursor, and, to the side of every combination, the relative diagnosis.

8. Slide-rule of acid-base equilibrium, as resulting from the present description and annexed drawings.