Abstract
THE USE of sodium bicarbonate for a few specific etiologies of metabolic acidosis is well-established. Sodium bicarbonate can be the first-line therapy for the treatment metabolic acidosis associated with conditions such as certain poisonings, overdoses, hyperchloremic acidosis, uremic acidosis, and enteric or renal losses of bicarbonate.1 However, a much more common cause of acidemia in patients undergoing cardiac surgery is lactic acidosis, presumably due to end-organ hypoperfusion. In this situation, management primarily is aimed at treating the underlying pathologic process.
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