Lactate in veterinary critical care: pathophysiology and management.
نویسندگان
چکیده
The measurement of blood lactate in people has proven to be a useful tool in the diagnosis, monitoring, and prognosis of a wide range of clinical syndromes. Its use in small animals is increasing, and several studies have been completed that demonstrate its potential role in critical care. This article summarizes the current state of knowledge regarding the physiology and pathophysiology of lactate production and lactic acidosis; current indications and the utility of measurement in a critical care setting are described; novel applications in the evaluation of cavitary effusions are highlighted; and a guide to the therapy of lactic acidosis is presented.
منابع مشابه
Evaluation of four point-of-care meters for rapid determination of blood lactate concentrations in dogs.
OBJECTIVE To determine whether blood lactate values determined in dogs with 4 commercially available point-of-care meters were in agreement with values determined with a critical care laboratory blood analyzer. DESIGN Prospective study. ANIMALS 50 dogs evaluated for emergency treatment. PROCEDURES Blood samples were collected at initial evaluation and processed on 4 point-of-care meters a...
متن کاملLactate: physiology and clinical utility
Objective: To review the physiology of lactate production and metabolism, the causes of lactic acidosis, and the current applications of lactate monitoring in humans and animals. Data sources: Human and veterinary studies. Summary: Lactate production is the result of anaerobic metabolism. Tissue hypoxia due to hypoperfusion is the most common cause of lactic acidosis. Studies in critically ill ...
متن کاملPerioperative Management of Lactic Acidosis in End-Stage Liver Disease Patient
Lactic acidosis (LA) in end-stage liver disease (ESLD) patients has been recognized as one of the most complicated clinical problems and is associated with increased morbidity and mortality. Multiple-organ failure, associated with advanced stages of cirrhosis, exacerbates dysfunction of numerous parts of lactate metabolism cycle, which manifests as increased lactate production and impaired clea...
متن کاملCritical Thinking Skills and Critical Thinking Dispositions in Freshmen and Senior Students of Health Care Management
Introduction: Nowadays, experts introduce critical thinking as the main outcome of higher education and consider teaching "how to think" as the basis for learning. This study compares the critical thinking skills and critical thinking dispositions in freshmen and senior students of health care management. Methods: This descriptive cross-sectional study was performed on a sample of 60 freshmen ...
متن کاملThe dimensions of clinical competence of nurses working in critical care units and their relation with the underlying factors
Introduction: Clinical competency is the use of skillful, technical and communication skills, knowledge, clinical reasoning, emotions and values in clinical settings. Developing the professional competence of investment nurses to ensure the safety and quality of patient care. The factors influencing the clinical competence of experience, environment, and the use of opportunities, motivation, th...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Journal of the American Animal Hospital Association
دوره 43 5 شماره
صفحات -
تاریخ انتشار 2007