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EMCrit 380 – Acid Base Part VIII – Tris-Hydroxymethyl . . . Tris-Hydroxymethyl Aminomethane (THAM or tromethamine) is an amino alcohol that acts as a buffer base that unlike NaBicarb doesn't increase Na or release CO2–it actually lowers PaCO2 Sounds great, huh? It is unfortunately expensive and has some other issues we will discuss