Sodium bicarbonate in cardiac arrest: a reappraisal.

  title={Sodium bicarbonate in cardiac arrest: a reappraisal.},
  author={Rade B. Vukmir and Nicholas G Bircher and Peter J Safar},
  journal={The American journal of emergency medicine},
  volume={14 2},
The routine use of sodium bicarbonate in patients with cardiac arrest has been discouraged, with the benefit of outcome evaluation. Current recommendations include an elaborate stratification of circumstances in which bicarbonate is to be used. The physiological and clinical aspects of bicarbonate administration during cardiopulmonary resuscitation in animal and human studies were reviewed. The onset of significant acidemia or alkalemia is associated with adverse system specific effects. The… CONTINUE READING
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