Author/Editor		Ploj, Tom
Title		Natrijev bikarbonat pri oživljanju
Translated title		Sodium bicarbonate during cardiopulmonary resuscitation
Type		članek
Source		In: Bručan A, Gričar M, editors. Urgentna medicina: izbrana poglavja 6. Zbornik 7. mednarodni simpozij o urgentni medicini; 2000 jun 14-17; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		2000
Volume		str. 199-203
Language		slo
Abstract		Sodium bicarbonate used to be routinely administered to all patients during cardiopulmonary resuscitation in the past. The main aim was to suppress intramyocardial acidosis, which is known to reduce myocardial contractility. Unfortunately, studies showed not only that bicarbonate doesn't abolish myocardial acidosis but it was also associated with unwanted effects. Some other buffers were found to have fewer side effects. Improved survival however, was not shown. For this reason a routine use of buffers during cardiopulmonary resuscitation is discouraged. Buffers should be used only in patients with cardiac arrest associated with hyperkalemia or tricyclic antidepressant overdose. The only measures, proved to improve survival during routine cardiopulmonary resuscitation are early defibrillation, vigorous sternal compressions, hyperventilation and adrenaline.
Descriptors		BICARBONATES CARDIOPULMONARY RESUSCITATION ACIDOSIS HYPERKALEMIA HEART ARREST ANTIDEPRESSIVE AGENTS, TRICYCLIC TROMETHAMINE DICHLOROACETATE ELECTRIC COUNTERSHOCK RESPIRATION, ARTIFICIAL