ICM Case Summaries - November 15, 2015 - By Steve Mathieu
Lessons Learnt
This case provided a useful insight into some of the controversies surrounding the treatment of profound lactic metabolic acidosis. A review of the evidence showed that there seems to be good evidence and consensus for not using bicarbonate therapy to treat acidosis with a pH more than 7.2, but below this opinion is divided. It illustrated the need to look at each case on its individual merits, some of the alternative therapies that may become available, and to continue to review emerging literature in what continues to be a controversial area.
http://icmcasesummaries.com/2015/11/15/use-of-bicarbonate-in-lactic-acidosis/