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The relative prognostic value of lactate and haemodynamic measurements in early shock
Author(s) -
COWAN B. N.,
BURNS H. J. G.,
BOYLE P.,
LEDINGHAM I. McA.
Publication year - 1984
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1984.tb06516.x
Subject(s) - medicine , hemodynamics , shock (circulatory) , cardiology , value (mathematics) , statistics , mathematics
Summary A prospective study was completed of 30 shocked patients admitted consecutively to an intensive therapy unit; the majority of the patients had shock of septic origin. Measurements were made of whole blood lactate together with mean arterial pressure, hourly urine volume and core: peripheral temperature difference at the start of treatment and 3 and 24 hours later. Serial lactate measurements were better at predicting outcome than single measurements. However, lactate measurements were much less valuable than serial measurements of the simple haemodynamic variables.