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For life-threatening cases of metabolic acidosis while under anesthesia (pHless than 7.1), supplementation of sodium bicarbonate is used to increase pH for tempo-rary preservation of life, while continued efforts are made to identify and correct theprimary cause of the acid–base abnormality (see Chapter 3, “Sodium Bicarbonate”section). 17.22 Pseudomembranous colitis manifesting as toxic megaco-lon. Not all of these are pathogenic and about a third do notlead to dysfunction. Such controlledstudies, however, are unlikely to happen anytime soon

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