Hyperlactatemia in critical illness and cardiac surgery
نویسندگان
چکیده
منابع مشابه
Hyperlactatemia in critical illness and cardiac surgery
suggest a diff ering association between early and late hyperlactatemia and mortality in post-operative cardiac surgery patients and that the inclusion of this cohort in our 'cardiac/vascular' group may have weakened the association between lactate and mortality in our study. Th ey are correct in assuming that a signifi cant number of patients from the 'cardiac/vascular' group were post-operati...
متن کاملHyperlactatemia and Cardiac Surgery.
The normal blood lactate level is 0-2 mmol/L, and a value above 3-5 mmol/L is variably used to define hyperlactatemia. In cardiac surgical patients, hyperlactatemia can arise from both hypoxic and non-hypoxic mechanisms. The major non-hypoxic mechanism is likely stress-induced accelerated aerobic metabolism, in which elevated lactate results from a mass effect on the lactate/pyruvate equilibriu...
متن کاملCritical illness hyperglycemia in pediatric cardiac surgery.
Critical illness hyperglycemia (CIH) is common in pediatric and adult intensive care units (ICUs). Children undergoing surgical repair or palliation of congenital cardiac defects are particularly at risk for CIH and its occurrence has been associated with increased morbidity and mortality in this population. Strict glycemic control through the use of intensive insulin therapy (IIT) has been sho...
متن کاملFrequency, risk factors, and outcome of hyperlactatemia after cardiac surgery.
STUDY OBJECTIVE To determine the respective frequencies, risk factors, and outcomes of no hyperlactatemia (NHL), immediate hyperlactatemia (IHL), or late hyperlactatemia (LHL) > 3 mmol/L after cardiac surgery. DESIGN Prospective and observational study. SETTING Cardiac surgery ICU in a 130-bed private community nonteaching hospital. PATIENTS Consecutive patients (n = 325) undergoing cardi...
متن کاملCritical illness-related corticosteroid insufficiency in patients with low cardiac output syndrome after cardiac surgery
Introduction Low cardiac output syndrome (LCOS) which features classic symptoms of hypotension, tachycardia, oliguria and poor peripheral perfusion after cardiac surgery is not rare in the immediate postoperative period, and usually requires high dose of inotropes and volume replacement. In this setting of critical illness and stress, Critical Illness-Related Corticosteroid Insufficiency (CIRCI...
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ژورنال
عنوان ژورنال: Critical Care
سال: 2010
ISSN: 1364-8535
DOI: 10.1186/cc9017