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Challenging dogma in the ICU (Part II)

Critical Matters

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Reevaluating Bicarbonate in Metabolic Acidosis

This chapter examines the misconception that sodium bicarbonate can improve heart function in patients with severe metabolic acidosis, emphasizing the need to consider intracellular pH levels and the root causes of acidosis. It discusses the limitations and risks of bicarbonate therapy in critical care, highlighting the importance of evidence-based practice over traditional approaches.

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