Letters Section Editor: Robert M. Golub,
MD, Senior Editor.
To the Editor: As an intensive care unit director,
I read the study by Dr Merten and colleagues with great interest.1 However, as a clinician caring for outpatients,
the possibility of oral bicarbonate therapy is important, particularly with
its high oral bioavailability. Providing patients with a pre-procedure regimen
of bicarbonate pills plus water followed by the same post-procedure treatment
may result in efficacy equal to intravenous therapy, leading to a more rapid
discharge from the hospital setting.
Siegel RE. Prevention of Contrast-Induced Nephropathy With Sodium Bicarbonate. JAMA. 2004;292(12):1428-1429. doi:10.1001/jama.292.12.1428-b