I am confused over the use of bicarbonate to treat acidosis following
resuscitation for cardiac arrest. Im familiar with the Resus council
guidelines regarding its use. My question is what is the science behind
this. Common sense obviously suggests it may be useful, but despite an
extensive search I am unable to find any supporting evidence, except several
small animal studies, but there is quite alot around suggesting it makes the
outcome worse in humans and from a physiological point of view it worsens
intra-cellular acidosis. I appreciate this is not a new debate, but why do
we still use it ?. I would appreciate anyones comments or references.
Craig
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