All right, so welcome back to the Internet Book of Critical Care Podcast.

I'm here with Adam Thomas and we're going to talk about respiratory alcoholis, aka hypocapnia.

So last week, Josh, we talked about hypercapnia.

This one, hypocapnia, do you want to set the groundwork to say you still don't want a lot of

ABGs going on?

Yeah.

We don't want to occur to the use of ABGs.

In a perfect world, maybe we would never identify patients with hypocaptnia primarily.

Because honestly, I think the approach to the hypochaponic patient, this occurs when like you have a

patient and you have no idea what's going on. You check a blood gas. They're hypochaphyde.

You're like, ah, but like, should that ever happen?

I don't know.

They're just in pain, right?

Often times they are.

But one thing I think we talked about offline in all seriousness is I think people really freak out when they say acidosis.

But people don't really

care about alkalosis. I find a really interesting cognitive approach or cognitive dissidents, maybe.

What's your thoughts on that? Like, how good are we at tolerating a pH of 6.9 versus 7.65?

No, you're wrong at him. You know, low pH is bad. High pH is good.

If you want to keep your patient alive, you just want to get the pH as high as possible.

Yeah, 7.86, maybe. 7.86. Okay, so everybody got with that hyperbole and sarcasm that we both

agree. Severe alkalosis is not a good thing. But what is the

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