Conclusions and Relevance There was no significant difference in sustained return of spontaneous circulation between sodium bicarbonate and placebo in adults with in-hospital cardiac arrest. These findings do not support routine administration of sodium bicarbonate for patients with in-hospital cardiac arrest.
The logic for bicarb use here was basically the same as for injecting bleach to cure an infection: it works in a test tube. There was no clinical evidence for it.
In fact the evidence against its use goes back to at least 1976:
Conclusions and Relevance There was no significant difference in sustained return of spontaneous circulation between sodium bicarbonate and placebo in adults with in-hospital cardiac arrest. These findings do not support routine administration of sodium bicarbonate for patients with in-hospital cardiac arrest.
> These findings do not support routine administration of sodium bicarbonate for patients with in-hospital cardiac arrest.
Huh, I'd heard of this as an intervention and just assumed it worked
The logic for bicarb use here was basically the same as for injecting bleach to cure an infection: it works in a test tube. There was no clinical evidence for it.
In fact the evidence against its use goes back to at least 1976:
https://pubmed.ncbi.nlm.nih.gov/1554/