Critical Care Perspectives in Emergency Medicine

Bicarbonate for Severe Acidosis?

Many critically ill patients are acidotic.  Often, bicarbonate is administered to severely acidotic patients, but does it really improve outcomes?  The BICAR-ICU was just published in the NEJM and evaluated the use of bicarbonate in patients with severe metabolic acidosis.  In this podcast, we go over the results and discuss the use of bicarbonate in critically ill patients.

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