Utility of Lactate Levels in the Diagnosis and Prognosis of Septic Shock
Daniela Carla de Souza, Roberto Jabornisky, Niranjan Kissoon
Abstract
ABSTRACT: Early recognition of septic shock and its treatment are key factors for limiting progression to multiple organ dysfunction and death. Lactate, a byproduct of metabolic pathways, is usually elevated in tissue hypoperfusion and shock and is associated with poor prognosis in sepsis. As a biomarker, it may help the clinician in risk stratification, and the identification and treatment of sepsis. In this article, we provide an update on lactate's pathophysiology and role in diagnosis, treatment, and prognosis in children with sepsis and septic shock.
Topics & Concepts
MedicineSeptic shockShock (circulatory)Intensive careIntensive care medicineEmergency medicineInternal medicineSepsisSepsis Diagnosis and TreatmentRenal function and acid-base balanceHemodynamic Monitoring and Therapy