To the Editor.—
We read with interest the article by Bishop and Weisfeldt (235:506, 1976). The statement is made that "By providing adequate ventilation, in the absence of preexisting acidosis, arterial pH can be maintained within reasonable limits for a considerable period during resuscitation without the addition of buffers." Biochemical data is advanced to substantiate this conclusion. However, the endpoint of the titration should not be an acceptable arterial pH, but the ultimate successful resuscitation of the patient and his continued survival. The authors do not present survival data on the animals in the experiment or on the human subjects. It would be very interesting to know if the seven dogs resuscitated without the use of sodium bicarbonate with constant volume ventilation and closed chest massage were successfully defibrillated and survived in spite of a rising plasma level of potassium.Through a paramedical mobile coronary care system operated by a
Harrison EE, Amey BD, Straub EJ. Sodium Bicarbonate Administration During Cardiac Arrest. JAMA. 1976;236(6):562–563. doi:10.1001/jama.1976.03270060016014
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