Serum Lactate as a Prognosis of Living Outcomes

Varathip  Thongdech; Nuthakun  Posri; Peeraya  Buakhao; Phongthara  Vichitvejpaisal

Authors

Varathip Thongdech Division of Nursing Specialty, Golden Jubilee Medical Center, Faculty of Medicine Siriraj Hospital, Mahidol University, Nakhon Pathom 73170, Thailand
Nuthakun Posri Division of Nursing Specialty, Golden Jubilee Medical Center, Faculty of Medicine Siriraj Hospital, Mahidol University, Nakhon Pathom 73170, Thailand
Peeraya Buakhao Division of Nursing Specialty, Golden Jubilee Medical Center, Faculty of Medicine Siriraj Hospital, Mahidol University, Nakhon Pathom 73170, Thailand
Phongthara Vichitvejpaisal Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand

Keywords:

critically ill patients, prognostic indicator, serum lactate, tissue hypoperfusion

Abstract

This article explores the significance of serum lactate as a predictor of living outcomes in critically ill patients. Serum lactate, traditionally associated with tissue hypoperfusion, has emerged as a valuable prognostic marker beyond its hypoxic implications. The article discusses the production and metabolism of lactate, highlighting its reflection of tissue hypoperfusion and cellular dysfunction. It emphasizes the importance of serum lactate measurements, as a powerful prognostic indicator in critically ill patients, as elevated levels have been consistently correlated with higher mortality rates and increased morbidity. This can aid healthcare professionals in making informed decisions regarding patient management and optimizing treatment strategies to improve patient outcomes. Furthermore, serum lactate can guide therapeutic decisions, assess illness severity, and aid in risk stratification. While acknowledging the limitations and confounding factors in interpreting lactate levels, the article encourages further research and integration of serum lactate measurements to optimize patient outcomes in critical care settings

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