Prognostic Significance of Blood Lactate and Lactate Clearance in Trauma Patients

Prognostic significance of blood lactate and lactate clearance in trauma patients.

BACKGROUND Lactate has been shown to be a prognostic biomarker in trauma. Although lactate clearance has already been proposed as an intermediate endpoint in randomized trials, its precise role in trauma patients remains to be determined. METHODS Blood lactate levels and lactate clearance (LC) were calculated at admission and 2 and 4 h later in trauma patients. The association of initial bloo...

"Lactate Shift," Rather Than "Lactate Clearance," for Serial Blood Lactate Monitoring?

Blood lactate concentration and clearance in elite swimmers during competition.

PURPOSE Blood lactate concentration, [BLa], after swimming events might be influenced by demographic features and characteristics of the swim race, whereas active recovery enhances blood lactate removal. Our aims were to (1) examine how sex, age, race distance, and swim stroke influenced [BLa] after competitive swimming events and (2) develop a practical model based on recovery swim distance to...

[Blood lactate as prognostic marker in critically ill children: a problem related to production or clearance?].

Suggested citation: Ronco R. Blood lactate as prognostic marker in critically ill children: a problem related to production or clearance? J Pediatr (Rio J). 2005;81:271-2. The temporal evolution of blood lactate levels has been widely used as a prognostic marker in critically ill patients, especially in the unstable phase. In the study published by Koliski et al.1 in this issue of Jornal de Ped...

L-lactate and D-lactate - clinical significance of the difference

In all vertebrates, including humans, the L-lactate form is by far the most abundant and pathophysiologically significant, and it is this form that is specifically measured by the lactate sensors in blood gas analyzers and indeed all routine methods used to measure lactate in the clinical laboratory. The main focus of this brief review is physiological and pathological aspects that distinguish ...