[Metabolic acidosis : Diagnosis and treatment]

Med Klin Intensivmed Notfmed. 2020 May;115(4):275-280. doi: 10.1007/s00063-019-0538-y. Epub 2019 Feb 6.
[Article in German]


Acid-base disorders and in particular metabolic acidosis are very common in critically ill patients and contribute significantly to morbidity and mortality. We shed light on the most common causes, the pathophysiology and treatments. Particular attention will be paid to the common practice of substituting sodium bicarbonate in the light of recent study results.

Keywords: Acid-base imbalance; Anion gap; Bicarbonates; Dialysis; Kidney.

Publication types

  • Review

MeSH terms

  • Acid-Base Equilibrium
  • Acidosis / diagnosis*
  • Acidosis / therapy*
  • Bicarbonates*
  • Critical Illness
  • Humans


  • Bicarbonates