Giving bicarbonate to a patient with a true bicarbonate deficit is not controversial. Controversy arises when the decrease in bicarbonate concentration is the result of its conversion to another base, which, given time, can be converted back to bicarbonate
Resuscitation with balanced crystalloids improves renal function
Improved outcomes with balanced crystalloids reflects avoidance of hyperchloremic acidosis
Why does hyperchloremic acidosis impair renal function?
Other reasons to correct hyperchloremic acidosis
Given that hyperchloremic acidosis is often iatrogenic, and associated with morbidity, it should be avoided whenever possible
– Kellum 2006