When a patient has an acidosis which is respiratory in nature, the right answer should not include using sodium bicarbonate. In this podcast episode, we explore the use of bicarbonate for the treatment of respiratory acidosis. While it is a commonly used therapy, recent studies have suggested that it may not be as effective as previously thought. We discuss the physiology of respiratory acidosis, the rationale for using bicarbonate, and the potential drawbacks and complications associated with its use. We also review the latest evidence and guidelines regarding bicarbonate therapy and offer practical tips for clinicians when managing patients with respiratory acidosis. Tune in to learn more about this important topic and how to optimize your treatment approach.

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