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Colegio de Medicina Interna de México.

2016, Number 2

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Med Int Mex 2016; 32 (2)

Static and dynamic indexes of hyperlactatemia

Ángeles-Velázquez JL, García-González AC, Díaz-Greene EJ, Rodríguez-Weber FL

Language: Spanish
References: 14
Page: 225-231
PDF size: 527.96 Kb.


ABSTRACT

Hyperlactatemia is a severity parameter used widely in the clinical services at the hospital units of any attention level; however, it is common the omission of important concepts related to its physiopathology, mainly the ignorance of all causes of lactate production and the balance that it keeps with its depuration, and the factors that alter this equilibrium. The most frequent situation in clinical practice is the association of hyperlactatemia to tissue hypoxia in most patients; nevertheless, it is well known that this can conduct to the misidentification of subjacent diseases, and to the election of incorrect therapeutic choices. Hyperlactatemia is not always correlated to hemodynamic stability; it is multifactorial and must be analyzed in a systematic and meticulous way.


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