Resources for control and maintenance of lactate during cardiopulmonary bypass in children.
Keywords:
Lactate, Lactic acid, Cardiopulmonary bypass, Infants, NeonatesAbstract
Lactic acid is a metabolic biomarker closely related to tissue perfusion. As such, an increase in it, indicates that the perfusion and the ratio between oxygen delivery and oxygen consumption are unbalanced. In turn, the perpetuation of such a situation over the time, determines an increase of perioperative mortality.
In this review we will try to address the determinants associated with the increase of lactic acid during cardiopulmonary bypass in pediatric cardiac surgery, and the ways to mitigate the impact of such alterations or avoid their occurrence.
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