Prophylactic sodium bicarbonate infusion and acute kidney injury after open heart surgery
Contrary to the positive findings of a previous pilot study, administration of a sodium bicarbonate-based infusion to induce urinary alkalinization during and after surgery does not reduce the incidence of acute kidney injury (AKI) and may even cause harm in patients undergoing open heart surgery.
These are the conclusions of a study by Anja Haase-Fielitz of the Otto-von-Guericke-University in Magdeburg, Germany, Rinaldo Bellomo of the Austin Hospital in Melbourne, Australia, and colleagues, published in this week's PLOS Medicine, that suggest an infusion of sodium ...