Lactate clearance as the predictor of outcome in pediatric septic shock
نویسندگان
چکیده
منابع مشابه
Serum lactate levels as the predictor of outcome in pediatric septic shock
BACKGROUND AND AIMS An association of high lactate levels with mortality has been found in adult patients with septic shock. However, there is controversial literature regarding the same in children. The aim of this study was to find the correlation of serum lactate levels in pediatric septic shock with survival. SETTINGS AND DESIGN This was a prospective observational study at PICU of a tert...
متن کاملIs lactate clearance impaired in septic shock?
In a recent article in Critical Care, Tapia and colleagues evaluated the relationship between exogenous lactate clearance and liver perfusion in a short-term model of endotoxemic shock [1]. The authors concluded that the very low portal-hepatic vein lactate gradient was indicative of the inability of the liver to metabolize the increased lactate load. Although we believe that the authors addres...
متن کاملEarly lactate clearance is associated with improved outcome in severe sepsis and septic shock.
OBJECTIVE Serial lactate concentrations can be used to examine disease severity in the intensive care unit. This study examines the clinical utility of the lactate clearance before intensive care unit admission (during the most proximal period of disease presentation) as an indicator of outcome in severe sepsis and septic shock. We hypothesize that a high lactate clearance in 6 hrs is associate...
متن کاملCell-free plasma DNA as a predictor of outcome in severe sepsis and septic shock.
BACKGROUND Increased concentrations of cell-free DNA have been found in plasma of septic and critically ill patients. We investigated the value of plasma DNA for the prediction of intensive care unit (ICU) and hospital mortality and its association with the degree of organ dysfunction and disease severity in patients with severe sepsis. METHODS We studied 255 patients with severe sepsis or se...
متن کاملSerial absolute lactate value < 4 versus relative 10% reduction as a predictor of mortality in severe sepsis and septic shock
Introduction Serial lactate measurements provide a valuable tool to risk-stratify patients, determine the presence of ongoing tissue hypoperfusion, and potentially evaluate efficacy of therapeutic interventions. Prior studies have shown lactate clearance to be a valuable predictor of patient outcomes, however some have defined adequate change in lactate by a decrease from baseline by 10% wherea...
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ژورنال
عنوان ژورنال: Journal of Emergencies, Trauma, and Shock
سال: 2017
ISSN: 0974-2700
DOI: 10.4103/jets.jets_103_16