000 01970nam a22003497a 4500
008 200709s20202020 xxu||||| |||| 00| 0 eng d
022 _a2072-1439
024 _a10.21037/jtd.2019.11.48 [doi]
024 _ajtd-12-S1-S48 [pii]
024 _aPMC7024759 [pmc]
040 _aOvid MEDLINE(R)
099 _a32148925
245 _aThe origins of the Lacto-Bolo reflex: the mythology of lactate in sepsis. [Review]
251 _aJournal of Thoracic Disease. 12(Suppl 1):S48-S53, 2020 Feb.
252 _aJ. thorac. dis.. 12(Suppl 1):S48-S53, 2020 Feb.
253 _aJournal of thoracic disease
260 _c2020
260 _fFY2020
265 _sppublish
266 _d2020-07-09
520 _aThe use of lactate as a marker of the severity of circulatory shock was popularized by Dr. Weil in the 1970's. Dr. Weil promoted the idea that blood lactate concentration increased in circulatory shock due to anaerobic metabolism following decreased oxygen delivery. This concept becomes entrenched with 1992 ACCP/SCCM consensus conference definition of sepsis. Since then, the central role of lactate in the definition and management of septic shock has only been expanded and become more ingrained. This review will discuss the wisdom of such an approach, an updated model describing the origins of hyperlactatemia in sepsis, and how such improvements in our knowledge of the underlying physiology should change our approach to resuscitation in patients presenting with septic shock. Copyright 2020 Journal of Thoracic Disease. All rights reserved.
546 _aEnglish
650 _aIN PROCESS -- NOT YET INDEXED
651 _aMedStar Washington Hospital Center
656 _aEmergency Medicine
657 _aJournal Article
657 _aReview
700 _aSpiegel, Rory
790 _aGordon D, Marik PE, Spiegel R
856 _uhttps://dx.doi.org/10.21037/jtd.2019.11.48
_zhttps://dx.doi.org/10.21037/jtd.2019.11.48
942 _cART
_dArticle
999 _c5237
_d5237