Increased blood lacate levels: an important warning signal in surgical practice

被引:53
作者
Bakker, J [1 ]
de Lima, AP [1 ]
机构
[1] Erasmus Med Ctr, Dept Intens Care, Rotterdam, Netherlands
来源
CRITICAL CARE | 2004年 / 8卷 / 02期
关键词
lactate; lactic acid; morbidity; mortality; trauma; surgery;
D O I
10.1186/cc2841
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Both in emergency and elective surgical patients increased blood lactate levels warn the physician that the patient is at risk of increased morbidity and decreased changes of survival. Prompt therapeutic measures to restore the balance between oxygen demand and supply are warranted in these patients.
引用
收藏
页码:96 / 98
页数:3
相关论文
共 25 条
[1]   LACTATE CLEARANCE AND SURVIVAL FOLLOWING INJURY [J].
ABRAMSON, D ;
SCALEA, TM ;
HITCHCOCK, R ;
TROOSKIN, SZ ;
HENRY, SM ;
GREENSPAN, J .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1993, 35 (04) :584-589
[2]  
ALLARDYCE DB, 1978, CAN J SURG, V21, P75
[3]   The golden hour and the silver day: Detection and correction of occult hypoperfusion within 24 hours improves outcome from major trauma [J].
Blow, O ;
Magliore, L ;
Claridge, JA ;
Butler, K ;
Young, JS .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1999, 47 (05) :964-969
[4]   Lactic acid in the blood of resting man [J].
Bock, AV ;
Dill, DB ;
Edwards, HT .
JOURNAL OF CLINICAL INVESTIGATION, 1932, 11 (04) :775-788
[5]   Lactate measurements in critically ill patients with a hand-held analyser [J].
Brinkert, W ;
Rommes, JH ;
Bakker, J .
INTENSIVE CARE MEDICINE, 1999, 25 (09) :966-969
[6]   EXCESS LACTATE - INDEX OF REVERSIBILITY OF SHOCK IN HUMAN PATIENTS [J].
BRODER, G ;
WEIL, MH .
SCIENCE, 1964, 143 (361) :1457-&
[7]   OXYGEN DELIVERY AND UPTAKE IN DOGS DURING ANEMIC AND HYPOXIC HYPOXIA [J].
CAIN, SM .
JOURNAL OF APPLIED PHYSIOLOGY, 1977, 42 (02) :228-234
[8]   APPEARANCE OF EXCESS LACTATE IN ANESTHETIZED DOGS DURING ANEMIC AND HYPOXIC HYPOXIA [J].
CAIN, SM .
AMERICAN JOURNAL OF PHYSIOLOGY, 1965, 209 (03) :604-&
[9]   Persistent occult hypoperfusion is associated with a significant increase in infection rate and mortality in major trauma patients [J].
Claridge, JA ;
Crabtree, TD ;
Pelletier, SJ ;
Butler, K ;
Sawyer, RG ;
Young, JS .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2000, 48 (01) :8-14
[10]   Occult hypoperfusion is associated with increased morbidity in patients undergoing early femur fracture fixation [J].
Crowl, AC ;
Young, JS ;
Kahler, DM ;
Claridge, JA ;
Chrzanowski, DS ;
Pomphrey, M .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2000, 48 (02) :260-267