Tag: lactate
AI Foresees the Squeeze: Machine Learning Predicts Vasopressor Needs Hours Ahead in Sepsis Patients
This proof-of-concept retrospective study, utilizing the MIMIC-IV v2.2 database (2008–2019), demonstrates that an interpretable machine learning model based on routinely collected electronic health record data from ICU... read more
Sodium Levels and Sepsis-Related Liver Injury: A Threshold Effect
A retrospective cross-sectional study utilizing data from the MIMIC-IV database explored the relationship between serum sodium (SNa) levels and the risk of Sepsis-Related Liver Injury (SRLI) in 11,809 adult ICU patients with... read more
AI Spots Deadly Sepsis Clotting Crisis Hours Earlier – Now Live as a Free Web Tool
In a large multi-center retrospective study using the MIMIC-IV and eICU-CRD databases, researchers developed an interpretable machine learning model to predict sepsis-induced coagulopathy (SIC) within 7 days of ICU admission.... read more
ICU Alert: Unraveling Mortality in Obstructive Pyelonephritis
This retrospective multicenter study investigated in-hospital mortality among 483 patients admitted to the ICU (8 centers) over a decade due to obstructive pyelonephritis, a severe condition often caused by kidney stones,... read more
Defending the Vulnerable: Neutropenic Sepsis Outcomes Improve Despite Higher Risk
A decade-long, single-center study in a French ICU examined the characteristics and outcomes of 185 consecutive patients admitted with neutropenic sepsis or septic shock between 2012 and 2022. The analysis revealed a... read more
Beyond Liver Failure: MELD-XI Predicts Sepsis Mortality
This retrospective cohort study investigated the utility of the MELD-XI (Model for End-Stage Liver Disease-Excluding INR) score as a predictor of 30-day mortality in over 16,600 adult ICU patients with sepsis, using data... read more
Dexmedetomidine’s ICU Advantage: Faster Exit, Longer Stay?
This updated meta-analysis compared the outcomes of using dexmedetomidine versus other standard sedatives in mechanically ventilated patients with sepsis. Objective: To synthesize recent evidence (2020–2025) from Randomized... read more
The Sepsis Tightrope: Tracking Antibiotic Levels to Hit the Sweet Spot in the ICU
This prospective, observational study examined the beta-lactam antibiotic concentrations in the crucial first 48 hours of treatment for patients with community-acquired sepsis in the Intensive Care Unit (ICU). The study... read more
VIS to Win: Predicting Mortality After Infective Endocarditis Surgery
This study explored the predictive power of the Vasoactive-Inotropic Score (VIS) in patients who underwent valve replacement surgery for infective endocarditis (IE). The key finding is that the VIS is a strong and superior... read more
More Than Just Acid: Navigating the Complexities of Lactate in Critical Care
Lactate is a vital marker in critical care, but its meaning is complex, reflecting an interplay of perfusion, metabolism, organ function, and stress. Clinicians must adopt a nuanced, multimodal approach to interpretation,... read more
Lactate Fails to Boost Predictive Power in Post-Op Cardiac Patients
This retrospective study analyzed over 2,500 adult patients to determine if lactate dynamics—including clearance time, trend, and maximum level—offer incremental value in predicting poor outcomes after cardiac surgery,... read more
Promising Prognostic Predictors in Sepsis Patients Using Lactate and Albumin Ratio
Serum Lactate/Albumin ratio and BAR ratio were significantly higher in sepsis and/or septic shock and associated with increased length of hospital stay and increased in-hospital mortality and poor clinical outcome inside... read more
Lactate Trajectory Models for Predicting AKI and Mortality in Hyperlactatemia Patients
The present study underscores the significant prognostic value of lactate trajectories in critically ill patients, particularly those with hyperlactatemia. Our findings suggest that rapid lactate clearance is strongly... read more
Prognostic Predictor Using Lactate-to-Albumin Ratio in Patients with Cirrhosis and Sepsis
Lactate-to-albumin ratio (LAR) is strongly associated with poor prognosis in patients with cirrhosis and sepsis. LAR is a promising prognostic marker that provides clinicians with a simple and effective tool for risk... read more
Immune Cell-Based vs. Albumin-Based Ratios as Outcome Predictors in Critically Ill COVID-19 Patients
This study aimed to assess the prognostic value of an array of biomarkers regarding the likelihood of a lethal outcome in critically ill COVID-19 patients. We took advantage of the opportunity to classify them into immune... read more
Lactic Acidosis with Metformin Accumulation in the ICU
Metformin-associated lactic acidosis (MALA) in ICUs often follow acute dehydration or infection, and these high-risk situations must be signals to prevent this serious ADR. Specific education programs for physicians and... read more
Increased Lactate Dehydrogenase to Albumin Ratio Associated with Short-term Mortality in Septic ICU Patients
Elevated lactate dehydrogenase to albumin ratio (LAR) was found to be significantly associated with an increased risk of all-cause mortality at 28 and 90 days in septic patients. LAR was suggested to be promising biomarker... read more
The predictive value of LAR for determining the need for ICU admission among hospitalized patients with community-acquired pneumonia
In this study, lactate-to-albumin ratio (LAR) was found to be a good predictor of ICU admissions in hospitalized patients with CAP and was non-inferior to PSI or CURB-65 scores. LAR was found to be a good predictor of... read more
Lactated Ringer’s a Clear Winner for Pancreatitis Resuscitation
Pancreatitis, a common and challenging condition, presents frequently in emergency departments across the country, affecting around 34 of every 100,000 adults annually. This often-severe disease is marked by inflammation... read more
Septic Shock in the Prehospital Setting
Septic shock (SS) is a potential life-threatening condition in which an early identification and immediate therapy stand out as the main cornerstones to improve survival chance; in this context, emergency medical services... read more
Effect of Different Shock Conditions on Mesenteric Hemodynamics
The velocity parameters of SMA Doppler ultrasound such as TAMV and PSV can reflect cardiac function. The measurements of SMA RI and PI are correlated with lactate levels, having a positive predictive value for hyperlactatemia... read more
Complex Infusion Volumes Interaction and Confounding Factors with Lactate Clearance in Septic Shock
A recent article by Ahlstedt et al. published in Intensive Care Medicine examining the impact of restrictive fluid management on lactate clearance in septic shock patients within the intensive care unit (ICU) piqued our interest.... read more
