Potential biomarkers in septic shock besides lactate

H Yang, L Du, Z Zhang - Experimental Biology and Medicine, 2020 - journals.sagepub.com
Septic shock can be defined as sepsis with persisting hypotension and is required for
vasopressors after initial unsuccessful fluid resuscitation. Elevated lactate is a biomarker of …

Myths and facts regarding lactate in sepsis

M Nalos, AS McLean, B Tang - Annual Update in Intensive Care and …, 2016 - Springer
Lactate has a questionable reputation amongst professionals caring for patients with sepsis.
The concern is partly justified, as lactate is indeed a sentinel marker of shock and poor …

Clinical applications of lactate testing in patients with sepsis and septic shock

SM Ryoo, WY Kim - Journal of Emergency and Critical Care …, 2018 - jeccm.amegroups.org
Hyperlactatemia is very common in patients with sepsis and septic shock and is closely
associated with poor prognosis. The third international consensus definition for sepsis and …

Lactate, a useful marker for disease mortality and severity but an unreliable marker of tissue hypoxia/hypoperfusion in critically ill patients

S Kushimoto, S Akaishi, T Sato… - Acute medicine & …, 2016 - Wiley Online Library
Early aggressive hemodynamic resuscitation using elevated plasma lactate as a marker is
an essential component of managing critically ill patients. Therefore, measurement of blood …

Blood lactate levels are superior to oxygen-derived variables in predicting outcome in human septic shock

J Bakker, M Coffernils, M Leon, P Gris, JL Vincent - Chest, 1991 - Elsevier
Recent reports have shown that oxygen delivery (D˙ o 2) and oxygen uptake (V˙ o 2) could
be related to outcome of critically ill patients. In this study, we examined measurements of …

Lactic acidosis in sepsis: it's not all anaerobic: implications for diagnosis and management

B Suetrong, KR Walley - Chest, 2016 - Elsevier
Increased blood lactate concentration (hyperlactatemia) and lactic acidosis (hyperlactatemia
and serum pH< 7.35) are common in patients with severe sepsis or septic shock and are …

[HTML][HTML] Lactate-guided resuscitation saves lives: we are not sure

J Bakker, D De Backer, G Hernandez - Intensive care medicine, 2016 - Springer
A fundamental objective of septic shock resuscitation is rapid restoration of tissue perfusion.
However, one of the most crucial unresolved challenges is to identify a clinical physiological …

[PDF][PDF] Lactate clearance as a target of therapy in sepsis: a flawed paradigm

PE Marik, R Bellomo, V Demla - OA Critical Care, 2013 - scholar.archive.org
An increased blood lactate level is widely believed to be a marker of inadequate oxygen
delivery and anaerobic metabolism. Furthermore, the rate of decline in lactate concentration …

Understanding lactatemia in human sepsis. Potential impact for early management

L Gattinoni, F Vasques, L Camporota… - American journal of …, 2019 - atsjournals.org
Rationale: Hyperlactatemia in sepsis may derive from a prevalent impairment of oxygen
supply/demand and/or oxygen use. Discriminating between these two mechanisms may be …

Early decreased respiratory chain capacity in resuscitated experimental sepsis is a major contributor to lactate production

M von Seth, L Hillered, A Otterbeck, K Hanslin… - Shock, 2023 - journals.lww.com
Background: Increased plasma lactate levels in patients with sepsis may be due to
insufficient oxygen delivery, but mitochondrial dysfunction or accelerated glycolysis may …