Because Thomas' solution is no longer available in France, nor Suby G in 2 or 3 liters bags, I am unable to perform acidification through nephrostomy tube...
In fact , I've already read it, 6 years earlier while managing the first case I met. It is an excellent paper published by Paul Meria. I am in touch with him, and he's got the same problem as mine : no solution of acidification is available in France...