What is a normal lactate level during cardiopulmonary bypass?

Scandinavian Cardiovascular Journal

Volumn 40, Issue 5, 2006, Pages 305-311

  Svenmarker, Staffan ^a   Häggmark, Sören ^a   Östman, Margareta ^a  

^a UMEÅ UNIVERSITY HOSPITAL   (Sweden)

Author keywords

Blood lactate; Cardiopulmonary bypass; Complications; Outcomes

Indexed keywords

INOTROPIC AGENT; LACTIC ACID; MILRINONE; NORADRENALIN; VASOACTIVE AGENT;

ACID BASE BALANCE; ADULT; AGE; AGED; AORTA CLAMPING; ARTICLE; ARTIFICIAL VENTILATION; BLOOD TRANSFUSION; BODY TEMPERATURE; CARDIOPULMONARY BYPASS; DEMOGRAPHY; DIABETES MELLITUS; DISEASE ASSOCIATION; EMERGENCY SURGERY; FEMALE; HEART LUNG MACHINE; HEART SURGERY; HUMAN; HYPERLACTATEMIA; INTENSIVE CARE; INTRAOPERATIVE PERIOD; ISCHEMIA; KIDNEY DYSFUNCTION; KIDNEY FAILURE; KIDNEY FUNCTION; LACTATE BLOOD LEVEL; LOGISTIC REGRESSION ANALYSIS; LONG TERM CARE; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; MORBIDITY; MORTALITY; NEUROLOGIC DISEASE; NORMAL VALUE; OPERATION DURATION; OUTCOMES RESEARCH; POSTOPERATIVE CARE; POSTOPERATIVE INFECTION; POSTOPERATIVE PAIN; PRIORITY JOURNAL; RESPIRATORY TRACT DISEASE; RISK FACTOR; STOMACH DISEASE; SURGICAL PATIENT; SURGICAL TECHNIQUE; VENOUS RETURN;

ADOLESCENT; ADULT; CARDIOPULMONARY BYPASS; FEMALE; HUMANS; LACTATES; MALE; MIDDLE AGED; POSTOPERATIVE PERIOD; PREDICTIVE VALUE OF TESTS; RETROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY;

EID: 33749419689     PISSN: 14017431     EISSN: 16512006     Source Type: Journal    
DOI: 10.1080/14017430600900261     Document Type: Article

References (25)

1. Clausen, SW. (1925) Anhydremic acidosis due to lactic acid Am J Dis Child., 29, pp. 761.
2. Demers, P and Elkouri, S and Martineau, R and Couturier, A and Cartier, R. (2000) Outcome with high blood lactate levels during cardiopulmonary bypass in adult cardiac operation Ann Thorac Surg. 70, pp. 2082-6.
3. Landow, L. (1993) Splanchnic lactate production in cardiac surgery patients Crit Care Med., 21(Suppl 2), pp. S84-91.
4. Mustafa, I and Roth, H and Hanafiah, A and Hakim, T and Anwar, M and Siregar, E and (2003) Effect of cardiopulmonary bypass on lactate metabolism Intensive Care Med., 29, pp. 1279-85.
5. Hayhoe, M and Bellomo, R and Liu, G and McNicol, L and Buxton, B. (1999) The aetiology and pathogenesis of cardiopulmonary bypass-associated metabolic acidosis using polygeline pump prime Intensive Care Med., 25, pp. 680-5.
6. Boldt, J and Piper, S and Murray, P and Lehmann, A. (1999) Case 2-1999. Severe lactic acidosis after cardiac surgery: Sign of perfusion deficits? J Cardiothorac Vasc Anesth., 13, pp. 220-4.
7. Haisjackl, M and Birnbaum, J and Redlin, M and Schmutzler, M and Waldenberger, F and Lochs, H and (1998) Splanchnic oxygen transport and lactate metabolism during normothermic cardiopulmonary bypass in humans Anesth Analg., 86, pp. 22-7.
8. Asimakopoulos, G. (2001) Systemic inflammation and cardiac surgery: An update Perfusion., 16, pp. 353-60.
9. Clowes, GH and Neville, WE and Sabga, G and Shibota, Y. (1958) The relationship of oxygen consumption, perfusion rate, and temperature to the acidosis associated with cardiopulmonary circulatory bypass Surgery., 44, pp. 220-39.
10. Cohen, RD and Woods, HF. (1983) Lactic acidosis revisited Diabetes., 32, pp. 181-91.
11. Maillet, JM and Le Besnerais, P and Cantoni, M and Nataf, P and Ruffenach, A and Lessana, A and (2003) Frequency, risk factors, and outcome of hyperlactatemia after cardiac surgery Chest., 123, pp. 1361-6.
12. Berkow, R. (1992) Merck Manual of Diagnosis and Therapy 16th edition. Rathway NJ: Merck & Co Inc.
13. Mordes, JP and Tranquada, RE and Rossini, AA. (1991) Lactic Acidosis. In Intensive Care Medicine. (pp. 994-1000). Boston/Toronto/London: Little, Brown and Company.
14. Äberg T, Svenmarker S, Hohner P, Hentschel J.Routine registration of deviations from the norm in cardiac surgery: A potent clinical research tool and quality assurance measure. Eur J Cardiothorac Surg. 1997;11:10-2,13-6.
15. Äberg, T and Hentschel, J. (2004) Improved total quality by monitoring of a cardiothoracic unit. Medical, administrative and economic data followed for 9 years Interactive Cardiovasc Thoracic Surg., 3, pp. 33-40.
16. Sack DB. Carbohydrates. In: Tietz fundamentals of clinical chemistry. 4th ed. Burtis CA, Ashwood ER. Philadelphia: Saunders W. B.; 1999. p 351-74.
17. Suen, WW and Ridley, B and Blakney, G and Higgins, TN. (2003) Comparison of lactate, bilirubin and hemoglobin F concentrations obtained by the ABL 700 series blood gas analyzers with laboratory methods Clin Biochem., 36, pp. 103-7.
18. Lindholm, L and Bengtsson, A and Hansdottir, V and Lundqvist, M and Rosengren, L and Jeppsson, A. (2003) Regional oxygenation and systemic inflammatory response during cardiopulmonary bypass: Influence of temperature and blood flow variations J Cardiothorac Vasc Anesth., 17, pp. 182-7.
19. Perner, A and Jørgensen, VL and Poulsen, TD and Steinbrüchel, D and Larsen, B and Andersen, LW. (2005) Increased concentrations of L-lactate in the rectal lumen in patients undergoing cardiopulmonary bypass Br J Anaesth., 95, pp. 764-8.
20. Himpe, D and Neels, H and De Hert, S and Van Cauwelaert, P. (2003) Adding lactate to the prime solution during hypothermic cardiopulmonary bypass: A quantitative acid-base analysis Br J Anaesth., 90, pp. 440-5.
21. Schroeder, TH and Hansen, M. (2005) Effects of fresh versus old stored blood in the priming solution on whole blood lactate levels during paediatric cardiac surgery Perfusion., 20, pp. 17-9.
22. Alston, RP and Cormack, L and Collinson, C. (2004) Metabolic acidosis developing during cardiopulmonary bypass is related to a decrease in strong ion difference Perfusion., 19, pp. 145-52.
23. Gunnerson KJ, Saul M He S, Kellum JA. Lactate versus non-lactate metabolic acidosis: A retrospective outcome evaluation of critically ill patients. Crit Care 2006;10.
24. Levy, B and Bollaert, PE and Charpentier, C and Nace, L and Audibert, G and Bauer, P and (1997) Comparison of norepinephrine and dobutamine to epinephrine for hemodynamics, lactate metabolism, and gastric tonometric variables in septic shock: A prospective, randomized study Intensive Care Med., 23, pp. 282-7.
25. Toraman, F and Evrenkaya, S and Yuce, M and Aksoy, N and Karabulut, H and Bozkulak, Y and (2004) Lactic acidosis after cardiac surgery is associated with adverse outcome Heart Surg Forum., 7, pp. E155-9.