We studied the intracellular pH in rat cerebral cortex of rats subject
ed to reversible total cerebral ischemia by cardiac arrest and resusci
tation. Brain acidosis was more pronounced during ischemia in hypergly
cemic rats (6.21 +/- 0.14) than in normoglycemic rats (6.56 +/- 0.07).
Brain tissue lactate accumulated proportionally. Nevertheless, within
5 min of reperfusion, pH(i) in both normoglycemic and hyperglycemic g
roups had recovered to baseline levels, i.e. near 7.1-7.2, despite the
fact that lactate concentrations were still elevated. These results d
emonstrate a rapid reversal of ischemic acidosis during recovery from
10 min of cardiac arrest. and suggest that acidosis, per se, may not b
e responsible for neuronal damage following cardiac arrest and resusci
tation, even in hyperglycemic conditions.