The lactate concentration at admission after OHCA was not correlated to the duration of ischemia but was associated with severe neurological impairment. However, this parameter showed a poor prognostic value for individual prognostication of brain injury, as only a very high cut-off of lactate (16.3 mmol/L) could adequately predict an unfavorable neurological status after arrest. Lactate levels on arrival were independent prognostic factors for OHCA, in association with ammonia levels. Also, persisting hyperlactatemia (>2 mmol/L) over 48 hours after CA independently predicted a poor prognosis in this population.
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|Titolo:||Can lactate levels and vasopressors use predict outcome in out-of-hospital cardiac arrest survivors?|
|Citazione:||Scolletta, S., & Taccone, F.S. (2011). Can lactate levels and vasopressors use predict outcome in out-of-hospital cardiac arrest survivors?. MINERVA ANESTESIOLOGICA, 77(11), 1030-1033.|
|Appare nelle tipologie:||1.1 Articolo in rivista|