6533b831fe1ef96bd1299015

RESEARCH PRODUCT

Prognostic value of blood lactate in critically ill patients

Hans-peter Schuster

subject

medicine.medical_specialtyMyocardial InfarctionEmergency NursingSeverity of illnessmedicineHumansHypnotics and SedativesLactic AcidMyocardial infarctionIntensive care medicineMonitoring PhysiologicAcidosisCritically illbusiness.industryPoisoningShockPrognosismedicine.diseaseHeart ArrestIntensive Care UnitsPancreatitisShock (circulatory)Acute DiseaseCirculatory systemLactatesEmergency MedicinePancreatitisHyperlactatemiamedicine.symptomAcidosisCardiology and Cardiovascular Medicinebusiness

description

Hyperlactatemia is frequently observed in critically ill patients. A correlation of blood lactate concentrations and outcome of patients has been proven in circulatory shock, circulatory arrest, acute myocardial infarction, acute hypnotic drug poisoning and severe pancreatitis. However, the prognostic relevance of hyperlactatemia yields from statistical examinations in larger groups of patients. It should not be misused as a reliable prognostic sign in the individual patient, but is of high value in comparing groups of patients. In individual patients, hyperlactatemia is a useful indicator pointing to the severity of illness and to superimposed complications. Blood lactate is of considerable value for the metabolic monitoring of critically ill patients.

https://doi.org/10.1016/0300-9572(84)90011-x