TO STUDY THE VALUE OF HEMODYNAMIC PARAMETERS IN COMPARISON TO LACTATE VALUES AND OUTCOME OF ILLNESS

Abstract

Background:

A total of 50 patients were included into study of prospective, non-intervention study was undertaken after ethical committee approval in the Department of Surgery, Amaltas Institute of Medical Sciences, Dewas, M.P., India for 01 year time duration.

Result: Above table suggest out of 50 patients of major trauma and sepsis there is 14(28%) non-survived and 36(72%) survived.

Above table suggest that out of 21 patients of sepsis 12(57.1%) survived and 9(42.9%) non-survived and out of 29 patients of major trauma 24(82.8%) survived and 5(17.2%) non-survived. Thus, p-value <0.01 statistically significant result.

Above table suggest that rising serum lactate levels predict mortality in trauma and sepsis irrespective of age of patients. Because results are statistically insignificant (p > 0.01

Conclusion: Lactate levels that increase serially or persist at high levels indicate ongoing worsening of patient condition, which may be unrecognized otherwise, and the need for a more aggressive treatment. They also hint at the need for greater resources for the hospital and patient.

Lactate values probably need to be followed for longer periods in critical patients even when they have tided over the present crisis. The utility of regular lactate analysis in these patients would depend on factors such as availability and cost of test also. There are no existing studies to support the above premise.

Keywords: Hemodynamic, Lactate, Illness &