Clinical Evaluation of Subcutaneous Lactate Measurement in Patients after Major Cardiac Surgery
Joint Authors
Svacina, Stepan
Bodenlenz, Manfred
Pieber, Thomas R.
Kremen, Jaromir
Ellmerer, Martin
Ikeoka, Dimas
Schaupp, Lukas
Haluzík, Martin
Blaha, Jan
Plank, Johannes
Plasnik, Andreas
Source
International Journal of Endocrinology
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-05-26
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Minimally invasive techniques to access subcutaneous adipose tissue for glucose monitoring are successfully applied in type1 diabetic and critically ill patients.
During critical illness, the addition of a lactate sensor might enhance prognosis and early intervention.
Our objective was to evaluate SAT as a site for lactate measurement in critically ill patients.
In 40 patients after major cardiac surgery, arterial blood and SAT microdialysis samples were taken in hourly intervals.
Lactate concentrations from SAT were prospectively calibrated to arterial blood.
Analysis was based on comparison of absolute lactate concentrations (arterial blood vs.
SAT) and on a 6-hour lactate trend analysis, to test whether changes of arterial lactate can be described by SAT lactate.
Correlation between lactate readings from arterial blood vs.
SAT was highly significant (r2=0.71, P<.001).
Nevertheless, 42% of SAT lactate readings and 35% of the SAT lactate trends were not comparable to arterial blood.
When a 6-hour stabilization period after catheter insertion was introduced, 5.5% of SAT readings and 41.6% of the SAT lactate trends remained incomparable to arterial blood.
In conclusion, replacement of arterial blood lactate measurements by readings from SAT is associated with a substantial shortcoming in clinical predictability in patients after major cardiac surgery.
American Psychological Association (APA)
Ellmerer, Martin& Haluzík, Martin& Blaha, Jan& Kremen, Jaromir& Svacina, Stepan& Plasnik, Andreas…[et al.]. 2009. Clinical Evaluation of Subcutaneous Lactate Measurement in Patients after Major Cardiac Surgery. International Journal of Endocrinology،Vol. 2009, no. 2009, pp.1-8.
https://search.emarefa.net/detail/BIM-468383
Modern Language Association (MLA)
Ellmerer, Martin…[et al.]. Clinical Evaluation of Subcutaneous Lactate Measurement in Patients after Major Cardiac Surgery. International Journal of Endocrinology No. 2009 (2009), pp.1-8.
https://search.emarefa.net/detail/BIM-468383
American Medical Association (AMA)
Ellmerer, Martin& Haluzík, Martin& Blaha, Jan& Kremen, Jaromir& Svacina, Stepan& Plasnik, Andreas…[et al.]. Clinical Evaluation of Subcutaneous Lactate Measurement in Patients after Major Cardiac Surgery. International Journal of Endocrinology. 2009. Vol. 2009, no. 2009, pp.1-8.
https://search.emarefa.net/detail/BIM-468383
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-468383