Sudden cardiac failure following treatment of metabolic alkalosis with hydrochloric acid

Gleiβ, J; Düpree, H-J; Lewejohann, J; Lewejohann, S; Knorr, S; Bruch, H.-P.

doi:10.1186/cc496

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Treatment Of Metabolic Alkalosis1

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2010

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“…Subsequent postmortem examinations did not identify a cause of death. 23 The use of IV hydrochloric acid is infrequent in the UK, and in order to treat the patient described in this case report, it was necessary to obtain the solution from a hospital over 150 miles away. This resulted in a significant delay in commencing the infusion.…”

Section: Treatment Of Metabolic Alkalosismentioning

confidence: 99%

Acid-Base Correction: A Case Report and Review of the Literature

Jones¹,

Williams

2010

Journal of the Intensive Care Society

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Metabolic alkalosis is a common acid-base abnormality in hospitalised patients, though not frequently life-threatening. We present a case of severe metabolic alkalosis complicating colorectal surgery, which necessitated treatment with intravenous hydrochloric acid. The pathophysiology and treatment of severe metabolic alkalosis are reviewed, with an emphasis on the risks and benefits of hydrochloric acid use.

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Section: Treatment Of Metabolic Alkalosismentioning

confidence: 99%