The kidneys work with the respiratory system to regulate H<sup>+</sup>. Where as the respiratory systems quickly compensates for a problem it is left to the kidneys to actually remove the problem and restore a proper balance. They do this by altering the plasma concentration of HCO<sub>3</sub><sup>-</sup>. During anaesthesia, the body's short term mechanism of respiratory change to regulate acid/base balance is compromised by the effects of the anaesthetic, and must be monitored so that relevant changes can be made manually by the anaesthetist to restore the correct acid base balance. | The kidneys work with the respiratory system to regulate H<sup>+</sup>. Where as the respiratory systems quickly compensates for a problem it is left to the kidneys to actually remove the problem and restore a proper balance. They do this by altering the plasma concentration of HCO<sub>3</sub><sup>-</sup>. During anaesthesia, the body's short term mechanism of respiratory change to regulate acid/base balance is compromised by the effects of the anaesthetic, and must be monitored so that relevant changes can be made manually by the anaesthetist to restore the correct acid base balance. |