Dear hehady
Addressing Bicarbonate therapy:
- During resuscitation, I suggest to follow the NRP guidelines ie. 4 cc/kd of BiC 4.2% during 10-15 mn.
- The treatment of prolonged mild acidosis is more controversial. Sometimes is may due to dehydration and the treatment must be correction of dehydration instead of giving BiC with all its side effects. When the acidosis is pure metabolic and not in emergency I found that there are controversies and no concensus about the right way to treat it.
I hope that I helped a little in solving part of the dilemma.
Moti Ben Elisha
Neonatologist
Nahariya hospital for Western Galilee
Israel