The Impact of Intraoperative Hyperlactatemia on Weaning from Cardiopulmonary Bypass in Patients Undergoing on-Pump Coronary Artery Bypass Grafting Surgery: An Observational Study

Autor:	Pierre Zarif Tawadros, Mahmoud Mohamed Mustafa, Amr Abdelmonem Ibrahim, Hadi El-Masry, Mostafa A. Al-Tantawy
Jazyk:	angličtina
Rok vydání:	2024
Předmět:	cardiopulmonary bypass coronary artery bypass grafting hemodynamic instability hyperlactatemia inotrope mechanical ventilation Anesthesiology RD78.3-87.3
Zdroj:	Bali Journal of Anesthesiology, Vol 8, Iss 3, Pp 169-175 (2024)
Druh dokumentu:	article
ISSN:	2549-2276
DOI:	10.4103/bjoa.bjoa_120_24
Popis:	Background: Hyperlactatemia after cardiac surgery is common. However, the association and the implications of hyperlactatemia on the prognosis after cardiopulmonary bypass (CPB) remains controversial. This study investigated the associations between early-onset hyperlactatemia and the need for doses of inotropes and vasopressors during weaning from CPB, hemodynamic stability after weaning from CPB, and the duration of postoperative mechanical ventilation. Patients and Methods: This prospective cohort study included 300 patients who underwent elective on-pump coronary artery bypass grafting (CABG) surgery and had normal systolic function >55%. Serum lactate levels were measured 1 h before induction, upon initiation of CPB, after removal of aortic cannula and on admission to the intensive care unit (ICU). Patients were divided into two groups: patients with lactate levels
Databáze:	Directory of Open Access Journals
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