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High Anion Gap Metabolic Acidosis (HAGMA)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Avoid AcidosisAvoid HypoventilationArrhythmiasHypotensionReduced Cardiac OutputShockHyperkalemiaUnstable ElectrolytesOptimize ElectrolytesDysglycemiaAvoid HypovolemiaDyspneaMetabolic Acidosis

Pathophysiology

A high anion gap metabolic acidosis means an unmeasured anion, such as lactate, ketoacids, salicylate, the metabolites of methanol and ethylene glycol, or uremic anions, has consumed bicarbonate ....

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