| Reservations and recommendations regarding sodium bicarbonate administration in cardiac arrest. | |
| | |
MedLine Citation:
|
PMID: 2852199 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The American Heart Association's (AHA) revised "Standards and Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiac Care (ECC)" recommend that bicarbonate be used ". . . only at the discretion of the physician directing the resuscitation." Reliance upon arterial blood gases is suggested for bicarbonate administration to the patient in cardiac arrest. However, recent literature suggests that arterial blood gases may not reflect the severe cellular acidosis that occurs at the tissue level during cardiac arrest. This article reviews the literature support for this recommendation and for the primary reliance upon hyperventilation to treat the acidosis of cardiac arrest patients. This is a very significant change in the management of the acidosis of cardiac arrest. As with most changes in traditional clinical practice, it will be difficult to overturn years of physician behavior. |
| | |
Authors:
|
G P Young |
Related Documents
:
|
7083509 - Ambulatory arrhythmias in resuscitated victims of cardiac arrest. 326369 - Management of cardiac arrest: seven steps to survival. 7738749 - Left ventricular failure complicating severe pediatric burn injuries. 2312909 - Accidental hypothermia with cardiac arrest: complete recovery after prolonged resuscita... 1150729 - Protection of the myocardium during surgery. 10987599 - Cardiopulmonary cerebral resuscitation using emergency cardiopulmonary bypass, coronary... 12002939 - Another knotted epidural catheter. 18479329 - Substrate and procedural predictors of outcomes after catheter ablation for atrial fibr... 19013809 - Cervical spinal cord infarction in a patient with cervical spondylosis triggered by str... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Journal of emergency medicine Volume: 6 ISSN: 0736-4679 ISO Abbreviation: J Emerg Med Publication Date: 1988 Jul-Aug |
Date Detail:
|
Created Date: 1989-03-29 Completed Date: 1989-03-29 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 8412174 Medline TA: J Emerg Med Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 321-3 Citation Subset: IM |
Affiliation:
|
Department of Emergency Medicine, Highland General Hospital, Oakland, California 94602. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Acid-Base Equilibrium Acidosis / drug therapy*, etiology, metabolism Bicarbonates / adverse effects, therapeutic use* Heart Arrest / complications*, metabolism Humans Sodium / adverse effects, therapeutic use* Sodium Bicarbonate |
| Chemical | |
Reg. No./Substance:
|
0/Bicarbonates; 144-55-8/Sodium Bicarbonate; 7440-23-5/Sodium |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Deposition of calcium pyrophosphate dihydrate crystals in the hand.
Next Document: Primary cytomegalovirus infection in pediatric nurses: a meta-analysis.