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Effects of postoperative hyperlactatemia on patients' intensive therapy unit length of stay
Critical Care volume 12, Article number: P449 (2008)
Methods
We audited 246 unselected, consecutive postoperative patients who were admitted post cardiac surgery over 3 months via interrogation of the blood gas analysis machine at the London Chest Hospital. Patients were divided into three groups according to lactate levels for their first 24 hour stay on the intensive therapy unit (ITU): normal up to 2 mmol/l (NoHL), moderate 2.1–4.9 mmol/l (MHL), severe hyperlactatemia >5 mmol/l (SHL) [3]. The length of stay in the ITU was also identified.
Conclusion
We can confirm that hyperlactatemia during the first 24 hours post cardiac surgery is associated with a prolonged ITU stay.
References
Micheal JM, et al.: Frequency, risk factors and outcome of hyperlactatemia after cardiac surgery. Chest 2003, 123: 1361-1366. 10.1378/chest.123.5.1361
Iqbal M, et al.: Effect of cardio pulmonary bypass on lactate metabolism. Intensive Care Med 2003, 29: 1279-1285. 10.1007/s00134-003-1860-6
Brandis K: Acid–Base Physiology.[http://www.anaesthesiaMCQ.com]
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Thanthulage, S., Stacey, S. Effects of postoperative hyperlactatemia on patients' intensive therapy unit length of stay. Crit Care 12 (Suppl 2), P449 (2008). https://doi.org/10.1186/cc6670
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DOI: https://doi.org/10.1186/cc6670