The relative prognostic value of lactate and haemodynamic measurements in early shock.
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.
D001794:Blood Pressure; D001831:Body Temperature; D003422:Critical Care; D006801:Humans; D007773:Lactates / Q000097:blood*; D019344:Lactic Acid; D008991:Monitoring, Physiologic; D011336:Probability; D011379:Prognosis; D011446:Prospective Studies; D012151:Resuscitation; D012769:Shock / Q000175:diagnosis* / Q000401:mortality / Q000628:therapy; D013997:Time Factors; D014556:Urine
D007773:Lactates; D019344:Lactic Acid