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Naresh Aggarwal
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SERUM LACTATE AS A PROGNOSTIC MARKER IN PEDIATRIC CARDIAC SURGERY PATIENTS

Trend in arterial lactate level during peri-operative period can be a useful tool to assess the prognosis in postoperative period in cardiac surgery in pediatric patients. In the present study, non-survivors had significant persistent elevation in lactates (> 4.0 mmol/l). Similarly, peak lactates in survivors correlated significantly with longer duration of cardiopulmonary bypass, mechanical ventilation and pediatric intensive care unit stay.

The article was published by
El artículo fue publicado por
Indian Journal of Critical Care Medicine
Volume / Volumen: 16
Number / Número: 4
First and last pages / Páginas inicial-final: 193-197
Year / Año: 2012
Month / Mes: october


This journal, which is covered by SIIC Data Bases,
is part of the bibliographic collections of the Biblioteca Biomédica (BB) SIIC.
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integra el acervo bibliográfico de la Biblioteca Biomédica (BB) SIIC.
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Institución principal de la investigación



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Niveles Séricos de Lactato como Marcador Pronóstico en Pacientes Pediátricos Sometidos a Cirugía Cardíaca

Los niveles arteriales de lactato durante el período periquirúrgico pueden ser un instrumento útil para determinar el pronóstico en la etapa que sigue a la cirugía cardíaca en los pacientes pediátricos. En el presente estudio, los pacientes que no sobrevivieron presentaron un aumento importante y sostenido del lactato (> 4 mmol/l). Asimismo, la concentración máxima de lactato en los pacientes que sobrevivieron se correlacionó significativamente con derivación cardiopulmonar y asistencia ventilatoria mecánica de mayor duración, y con permanencia más prolongada en la sala de cuidados intensivos pediátricos.
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Bibliographic references
Referencias bibliográficas

Charpie JR, Dekeon MK, Goldberg CS, Mosca RS, Bove EL, Kulik TJ. Serial blood lactate measurements predict early outcome after neonatal repair or palliation for complex congenital heart disease. J Thorac Cardiovasc Surg 120:73-80, 2000.
Cheifetz IM, Kern FH, Schulman SR, Greeley WJ, Ungerleider RM, Meliones JN. Serum lactates correlate with mortality after operations for complex congenital heart disease. Ann Thorac Surg 64:735-738, 1997.
Cheung PY, Chui N, Joffe AR, Rebeyka IM, Robertson C et al. Postoperative lactate concentrations predict the outcome of infants aged 6 weeks or less after intracardiac surgery: A cohort follow-up to 18 months. J Thorac Cardiovasc Surg 130:837-843, 2005.
Munoz R, Laussen PC, Palacio G, Zienko L, Piercey G, Wessel DL. Changes in whole blood lactate levels during cardiopulmonary bypass for surgery for congenital cardiac disease: an early indicator of morbidity and mortality. J Thorac Cardiovasc Surg 119:155-162, 2000.
Duke T, Butt W, South M, Karl TR. Early markers of major adverse events in children after cardiac operations. J Thorac Cardiovasc Surg 114:1042-1052, 1997.
Hatherill M, Sajjanhar T, Tibby SM, Champion MP, Anderson D, Marsh MJ et al. Serum lactate as a predictor of mortality after paediatric cardiac surgery. Arch Dis Child 77:235-238, 1997.
Ranucci M, Isgrò G, Carlucci C, De La Torre T, Enginoli S, Frigiola A et al. Central venous oxygen saturation and blood lactate levels during cardiopulmonary bypass are associated with outcome after pediatric cardiac surgery. Crit Care 14:R149, 2010.
Shemie SD. Serum lactate predicts postoperative complications after pediatric cardiac surgery. Pediatr Res 39:54A, 1996.
Siegel LB, Hauser J, Hertzog JH, Hopkins RA, Hannah RL, Dalton HJ. Initial post-operative serum lactate predicts outcome in children after open heart surgery. Crit Care Med 23:A205, 1995.

Other articles written by the author Naresh Aggarwal
Otros artículos de Naresh Aggarwal

Das J, Aggarwal A, Aggarwal NK. Pulse oximeter accuracy and precision at five different sensor locations in infants and children with cyanotic heart disease. Indian J Anaesth 54: 531-4, 2010.




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/ Sistema SIIC de Edición Asistida (SSEA)

Naresh Aggarwal was invited by SIIC on
Naresh Aggarwal fue invitado por SIIC el
2013, july 12
  The authors' report was accepted on
La crónica del autor fue aprobada el
2021, march 9
The authors' report was accepted on
La crónica del autor fue aprobada el
2021, march 9
Published in siicsalud
Publicado en siicsalud
2021, june 7





The article is strictly related to the following sections of siicsalud
El artículo se relaciona estrictamente con las siguientes secciones de siicsalud

 
Cardiology
/ Cardiología
 
Paediatrics
/ Pediatría
 

and secondarily related to the following sections

y secundariamente con las siguientes secciones

Surgical Anesthesiology
Anestesiología Quirúrgica

Cardiac Anesthesiology
Cardioanestesia

Anaesthesiology
Anestesiología

Biochemistry
Bioquímica

Clinical Analytics
Análisis Clínicos

Pediatric Cardiology
Cardiología Pediátrica

Cardiovascular surgery
Cirugía Cardiovascular

Intensive Care
Cuidados Intensivos

Pediatric surgery
Cirugía Pediátrica

Surgery
Cirugía

Clinical Chemistry
Diagnóstico por Laboratorio

Pediatric Cardiology
Cardiología Pediátrica

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Point of Care Serum Lactate Levels as a Prognostic Marker of Outcome in Complex Pediatric Cardiac Surgery Patients:Can We Utilize It


Author / Autor
Naresh Aggarwal1, Amit Varma2, Jyotirmay Das3

3 Dr, Fortis Hospital, Vasantkunj, New Delhi, Bhopal, India


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Article URL:
/ URL del artículo:
http://www.ijccm.org/

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/ URL del abstract:

URL of Abstract page in Medline:
/ URL del abstract en Medline:
http://www.ncbi.nlm.nih.gov/pubmed/?term=Point+of+Care+Serum+Lactate+Levels+as+a+Prognostic+Marker+of+Outcome+in+Complex+Pediatric+Cardiac+Surgery+Patients%3ACan+We+Utilize+It

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siic DB:
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http://www.siicsalud.com/main/distriprinrel.php
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