Sodium bicarbonate therapy for critically ill patients with metabolic acidosis: A scoping and a systematic review
被引:27
作者:
Fujii, Tomoko
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Monash Univ, Dept Epidemiol & Prevent Med, Australian & New Zealand Intens Care Res Ctr, Melbourne, Vic, Australia
Kyoto Univ, Grad Sch Med, Dept Epidemiol & Prevent Med, Kyoto, Japan
Japan Soc Promot Sci, Tokyo, JapanMonash Univ, Dept Epidemiol & Prevent Med, Australian & New Zealand Intens Care Res Ctr, Melbourne, Vic, Australia
Fujii, Tomoko
[1
,2
,3
]
Udy, Andrew
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Monash Univ, Dept Epidemiol & Prevent Med, Australian & New Zealand Intens Care Res Ctr, Melbourne, Vic, Australia
The Alfred, Dept Intens Care, Melbourne, Vic, AustraliaMonash Univ, Dept Epidemiol & Prevent Med, Australian & New Zealand Intens Care Res Ctr, Melbourne, Vic, Australia
Udy, Andrew
[1
,4
]
Licari, Elisa
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The Alfred, Dept Intens Care, Melbourne, Vic, AustraliaMonash Univ, Dept Epidemiol & Prevent Med, Australian & New Zealand Intens Care Res Ctr, Melbourne, Vic, Australia
Licari, Elisa
[4
]
Romero, Lorena
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The Alfred, Ian Potter Lib, Melbourne, Vic, AustraliaMonash Univ, Dept Epidemiol & Prevent Med, Australian & New Zealand Intens Care Res Ctr, Melbourne, Vic, Australia
Romero, Lorena
[5
]
Bellomo, Rinaldo
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Monash Univ, Dept Epidemiol & Prevent Med, Australian & New Zealand Intens Care Res Ctr, Melbourne, Vic, Australia
Austin Hosp, Dept Intens Care, Heidelberg, Vic, Australia
Univ Melbourne, Sch Med, Melbourne, Vic, AustraliaMonash Univ, Dept Epidemiol & Prevent Med, Australian & New Zealand Intens Care Res Ctr, Melbourne, Vic, Australia
Bellomo, Rinaldo
[1
,6
,7
]
机构:
[1] Monash Univ, Dept Epidemiol & Prevent Med, Australian & New Zealand Intens Care Res Ctr, Melbourne, Vic, Australia
[2] Kyoto Univ, Grad Sch Med, Dept Epidemiol & Prevent Med, Kyoto, Japan
[3] Japan Soc Promot Sci, Tokyo, Japan
[4] The Alfred, Dept Intens Care, Melbourne, Vic, Australia
[5] The Alfred, Ian Potter Lib, Melbourne, Vic, Australia
[6] Austin Hosp, Dept Intens Care, Heidelberg, Vic, Australia
[7] Univ Melbourne, Sch Med, Melbourne, Vic, Australia
Purpose: We aimed to assess the biochemical and physiological effects, clinical efficacy, and safety, of intravenous NaHCO3 therapy in critically ill patients with acute metabolic acidosis. Methods: We conducted a scoping review concerning the biochemical and physiological effects of NaHCO3 (PART A), and a systematic review regarding clinical efficacy (PART B). We searched MEDLINE in Part A and MEDLINE, EMBASE, Cochrane, the National Institute of Health Clinical Trials Register, and the WHOICTRP for randomised controlled trials in Part B. Results: Twelve studies in Part A and two trials in Part B fulfilled the eligibility criteria. Intravenous NaHCO3 increased blood pH, base excess, serum bicarbonate, sodium, and PaCO2 during and after administration and decreased anion gap and potassium value. For clinical efficacy, only one study contributed to the effect estimate. The risk ratio (RR) for all-cause mortality was 0.83 (95% confidence interval, 0.68 to 1.02), and the risk of hypocalcaemia was increased in the bicarbonate group (RR 1.65, 95% confidence interval 1.09 to 2.50). There were inadequate data on hemodynamic indices. Conclusions: Given the lack of data on the effects of intravenous NaHCO3 therapy to support its clinical use and the frequency of bicarbonate therapy, a program of investigation appears justified. (C) 2019 Elsevier Inc. All rights reserved.
机构:
Austin Hlth, Dept Intens Care, Melbourne, Vic, AustraliaAustin Hlth, Dept Intens Care, Melbourne, Vic, Australia
Chua, Horng Ruey
Schneider, Antoine
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Austin Hlth, Dept Intens Care, Melbourne, Vic, AustraliaAustin Hlth, Dept Intens Care, Melbourne, Vic, Australia
Schneider, Antoine
Bellomo, Rinaldo
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机构:
Austin Hlth, Dept Intens Care, Melbourne, Vic, Australia
Monash Univ, Australia & New Zealand Intens Care ANZIC Res Ctr, Melbourne, Vic 3004, AustraliaAustin Hlth, Dept Intens Care, Melbourne, Vic, Australia
机构:
UNIV BRITISH COLUMBIA, ST PAULS HOSP, 1081 BURRARD ST, VANCOUVER V6T 1Y6, BC, CANADAUNIV BRITISH COLUMBIA, ST PAULS HOSP, 1081 BURRARD ST, VANCOUVER V6T 1Y6, BC, CANADA
COOPER, DJ
WALLEY, KR
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UNIV BRITISH COLUMBIA, ST PAULS HOSP, 1081 BURRARD ST, VANCOUVER V6T 1Y6, BC, CANADAUNIV BRITISH COLUMBIA, ST PAULS HOSP, 1081 BURRARD ST, VANCOUVER V6T 1Y6, BC, CANADA
WALLEY, KR
WIGGS, BR
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UNIV BRITISH COLUMBIA, ST PAULS HOSP, 1081 BURRARD ST, VANCOUVER V6T 1Y6, BC, CANADAUNIV BRITISH COLUMBIA, ST PAULS HOSP, 1081 BURRARD ST, VANCOUVER V6T 1Y6, BC, CANADA
WIGGS, BR
RUSSELL, JA
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UNIV BRITISH COLUMBIA, ST PAULS HOSP, 1081 BURRARD ST, VANCOUVER V6T 1Y6, BC, CANADAUNIV BRITISH COLUMBIA, ST PAULS HOSP, 1081 BURRARD ST, VANCOUVER V6T 1Y6, BC, CANADA
机构:
Austin Hlth, Dept Intens Care, Melbourne, Vic, AustraliaAustin Hlth, Dept Intens Care, Melbourne, Vic, Australia
Chua, Horng Ruey
Schneider, Antoine
论文数: 0引用数: 0
h-index: 0
机构:
Austin Hlth, Dept Intens Care, Melbourne, Vic, AustraliaAustin Hlth, Dept Intens Care, Melbourne, Vic, Australia
Schneider, Antoine
Bellomo, Rinaldo
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h-index: 0
机构:
Austin Hlth, Dept Intens Care, Melbourne, Vic, Australia
Monash Univ, Australia & New Zealand Intens Care ANZIC Res Ctr, Melbourne, Vic 3004, AustraliaAustin Hlth, Dept Intens Care, Melbourne, Vic, Australia
机构:
UNIV BRITISH COLUMBIA, ST PAULS HOSP, 1081 BURRARD ST, VANCOUVER V6T 1Y6, BC, CANADAUNIV BRITISH COLUMBIA, ST PAULS HOSP, 1081 BURRARD ST, VANCOUVER V6T 1Y6, BC, CANADA
COOPER, DJ
WALLEY, KR
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UNIV BRITISH COLUMBIA, ST PAULS HOSP, 1081 BURRARD ST, VANCOUVER V6T 1Y6, BC, CANADAUNIV BRITISH COLUMBIA, ST PAULS HOSP, 1081 BURRARD ST, VANCOUVER V6T 1Y6, BC, CANADA
WALLEY, KR
WIGGS, BR
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UNIV BRITISH COLUMBIA, ST PAULS HOSP, 1081 BURRARD ST, VANCOUVER V6T 1Y6, BC, CANADAUNIV BRITISH COLUMBIA, ST PAULS HOSP, 1081 BURRARD ST, VANCOUVER V6T 1Y6, BC, CANADA
WIGGS, BR
RUSSELL, JA
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UNIV BRITISH COLUMBIA, ST PAULS HOSP, 1081 BURRARD ST, VANCOUVER V6T 1Y6, BC, CANADAUNIV BRITISH COLUMBIA, ST PAULS HOSP, 1081 BURRARD ST, VANCOUVER V6T 1Y6, BC, CANADA