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Titolo:
INTERPRETATION OF BLOOD LACTATE MEASUREMENTS IN PEDIATRIC OPEN-HEART-SURGERY AND IN EXTRACORPOREAL MEMBRANE-OXYGENATION
Autore:
TOFFALETTI J; HANSELL D;
Indirizzi:
DUKE UNIV,MED CTR,CLIN LABS,POB 3015 DURHAM NC 27710 DUKE UNIV,MED CTR,DEPT PATHOL DURHAM NC 27710 DUKE UNIV,MED CTR,RESP CARE SERV DURHAM NC 27710
Titolo Testata:
Scandinavian journal of clinical & laboratory investigation
fascicolo: 4, volume: 55, anno: 1995,
pagine: 301 - 307
SICI:
0036-5513(1995)55:4<301:IOBLMI>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
SHOCK;
Keywords:
CRITICAL CARE; HEMODYNAMICS; INTENSIVE CARE; LIFE SUPPORT CARE; NEWBORN INFANT; OXYGEN CONSUMPTION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
7
Recensione:
Indirizzi per estratti:
Citazione:
J. Toffaletti e D. Hansell, "INTERPRETATION OF BLOOD LACTATE MEASUREMENTS IN PEDIATRIC OPEN-HEART-SURGERY AND IN EXTRACORPOREAL MEMBRANE-OXYGENATION", Scandinavian journal of clinical & laboratory investigation, 55(4), 1995, pp. 301-307

Abstract

For the purpose of demonstrating both the clinical value and economicadvantages of using blood lactate as a marker for haemodynamic instability, we present the clinical guidelines for when to measure blood lactate and how these measurements are interpreted in two clinical settings: following open-heart surgery for complex congenital heart disease, and in determining both the need for and the effectiveness of extracorporeal membrane oxygenation (ECMO). Several case histories are presented that demonstrate the conditions which can elevate blood lactate concentrations and the resulting therapeutic interventions, based on use of volume support, inotropic support, vasodilators, and/or ventilation, that can lead to a successful outcome in these patients. In one ofthe case histories a greatly elevated blood lactate apparently indicated that intracranial haemorrhage had occurred in a patient who later expired.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/09/20 alle ore 17:08:16