title: Augmented serum lactic acid combined with metabolic alkalosis: a case report.
abstract: Lactic acidosis is a common problem in the peri-operative period. During extensive surgery we frequently have an augmentation of lactic acid most often on the basis of hypoperfusion. Normally, a rise in serum lactate level causes a fall in blood pH, and this metabolic acidosis is accompanied by a high anion gap. In this case report a perioperative rise in lactic acid and an elevation in serum pH in a patient during meningeal tumour surgery is presented.
authors.affiliation: Department of Anaesthesiology, Ghent University Hospital, Ghent, Belgium. caroline.niewold@skynet.be
authors.forename: C
authors.initials: C
authors.lastname: Niewold
authors.forename: L L
authors.initials: LL
authors.lastname: Szegedi
authors.forename: T F
authors.initials: TF
authors.lastname: Jacobs
mesh_terms: D000140:Acidosis, Lactic / Q000209:etiology*; D017809:Fatal Outcome; D005260:Female; D005440:Fluid Therapy / Q000009:adverse effects*; D006801:Humans; D006863:Hydrogen-Ion Concentration; D019344:Lactic Acid / Q000097:blood; D008577:Meningeal Neoplasms / Q000601:surgery*; D008579:Meningioma / Q000601:surgery*; D008875:Middle Aged; D019990:Perioperative Care
chemical_list: D019344:Lactic Acid