Abstract

LAVERDE SABOGAL, Carlos Eduardo; CORREA RIVERA, Andrés Felipe  and  JOYA HIGUERA, Angélica Yasmin. Lactate and base deficit in trauma: Prognostic value. Rev. colomb. anestesiol. [online]. 2014, vol.42, n.1, pp.60-64. ISSN 0120-3347.  https://doi.org/10.1016/j.rca.2013.09.002.

Objectives:Clinical case discussion and non-systematic literature review on lactate and base-deficit in trauma, its pathophysiology and prognostic value.Materials and method: The case of a polytraumatized patient that underwent major vascu-larand orthopedic surgery, ICU management and outcomes is discussed with the approval ofthe Ethics Committee of our Institution. The literature search included Pub Med, Scielo andBireme.Results:Lactate and base deficit are early follow-up clinical tools in trauma for identifyin-ganaerobic metabolism, in addition to evaluating and changing the resuscitation strategy. This model is applicable to cardiovascular surgery. Conclusions:Both in trauma and cardiovascular surgery, lactate and base deficit are biomark-ers that need to be quantified very early and in a serial manner. They are inde-pendentpredictive factors for mortality in trauma patients in the first 48 h. Similarly, the base deficit allows for an early staging of patients in shock and for estab-lishing with a high probability the need forblood by-products or mass transfusion.Further studies are required for normotensive patients.

Keywords : Lactic Acid; Wounds and Injuries; Shock; Anoxia; Anemia.

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