Title |
Clinical use of lactate monitoring in critically ill patients
|
---|---|
Published in |
Annals of Intensive Care, May 2013
|
DOI | 10.1186/2110-5820-3-12 |
Pubmed ID | |
Authors |
Jan Bakker, Maarten WN Nijsten, Tim C Jansen |
Abstract |
Increased blood lactate levels (hyperlactataemia) are common in critically ill patients. Although frequently used to diagnose inadequate tissue oxygenation, other processes not related to tissue oxygenation may increase lactate levels. Especially in critically ill patients, increased glycolysis may be an important cause of hyperlactataemia. Nevertheless, the presence of increased lactate levels has important implications for the morbidity and mortality of the hyperlactataemic patients. Although the term lactic acidosis is frequently used, a significant relationship between lactate and pH only exists at higher lactate levels. The term lactate associated acidosis is therefore more appropriate. Two recent studies have underscored the importance of monitoring lactate levels and adjust treatment to the change in lactate levels in early resuscitation. As lactate levels can be measured rapidly at the bedside from various sources, structured lactate measurements should be incorporated in resuscitation protocols. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 7 | 24% |
United Kingdom | 3 | 10% |
France | 2 | 7% |
Spain | 1 | 3% |
Chile | 1 | 3% |
Portugal | 1 | 3% |
Kenya | 1 | 3% |
Kuwait | 1 | 3% |
Australia | 1 | 3% |
Other | 0 | 0% |
Unknown | 11 | 38% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 22 | 76% |
Scientists | 4 | 14% |
Practitioners (doctors, other healthcare professionals) | 3 | 10% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 4 | <1% |
Canada | 4 | <1% |
United Kingdom | 3 | <1% |
Netherlands | 2 | <1% |
Brazil | 2 | <1% |
India | 1 | <1% |
Czechia | 1 | <1% |
Pakistan | 1 | <1% |
Italy | 1 | <1% |
Other | 3 | <1% |
Unknown | 494 | 96% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 68 | 13% |
Student > Postgraduate | 65 | 13% |
Student > Master | 58 | 11% |
Student > Bachelor | 50 | 10% |
Researcher | 48 | 9% |
Other | 128 | 25% |
Unknown | 99 | 19% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 271 | 53% |
Engineering | 22 | 4% |
Nursing and Health Professions | 20 | 4% |
Agricultural and Biological Sciences | 19 | 4% |
Biochemistry, Genetics and Molecular Biology | 13 | 3% |
Other | 53 | 10% |
Unknown | 118 | 23% |