The role of lactate to guide resuscitation- A Clinician’s perspective
No Thumbnail Available
Date
2023-12
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Siddharth Health Research and Social Welfare Society
Abstract
Measured lactate levels have been long considered to be a marker for the critical nature of the patient undergoing resuscitation. Serial measurement of the lactate levels has been shown to improve with the patient’s clinical condition. However, the lactate level should only be used as adjunct to the ensuing resuscitation whilst appreciating that there may be a delayed rise in lactate levels as the perfusion status improves.In the context of sepsis, an absolute increased level of lactate untreated has been associated with increased morbidity and mortality and forms part of the initial management of the ‘Sepsis Six campaign’.In the context trauma, lactate is also noted to be a vital parameter that guides the resuscitation effort highlighting the improvement in the anaerobic metabolism as oxygen delivery is improved to the end organs.This article aims to explore some of the concerns that emergency and critical care clinicians have a raised lactate.
Description
Keywords
Resuscitation, Lactate, Physiology, Damage-controlled resuscitation
Citation
Chowdhury D. The role of lactate to guide resuscitation- A Clinician’s perspective. International Journal of Medical Research & Review . 2023 Nov; 11(6): 159-162