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March 5, 2026Annals of Internal Medicine0 citations

In adults with severe metabolic acidosis and moderate to severe AKI, IV sodium bicarbonate did not reduce mortality at 90 d

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AGAmit X. Garg

Key Points

  • To investigate whether intravenous sodium bicarbonate reduces mortality in adults with severe metabolic acidosis and acute kidney injury.
  • Adults with severe metabolic acidosis and moderate to severe acute kidney injury were treated with IV sodium bicarbonate.
  • Mortality rates were assessed at 90 days post-treatment.
  • IV sodium bicarbonate treatment did not demonstrate a significant reduction in mortality at 90 days.
  • No differences in outcomes were observed between treatment and control groups.

Abstract

GIM/FP/GP: Formula: see text Critical Care: Formula: see text Nephrology: Formula: see text.

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Amit X. Garg (2026) studied this question.

synapsesocial.com/papers/69a91cbed6127c7a504bfa9fhttps://doi.org/10.7326/annals-26-00213-jc
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