Identification ? 1 2 3 4 5 6 7 8 9 10 Normal Range pH normal Lactate (mmol/L) ↓ pH - upregulation anaerobic metabolism ↓ vascular removal 3 Demers et al., Ann of Thorac Surg 2000;70:2082-2086 It is here – intraoperatively where patient outcome can be improved by determining the cause and correcting hypoperfused states. Correction Zone
Tissue Hypoxia ↑ Flow rate ↑ Mechanical Ventilation ↑ F i O 2 ↑ Hgb NaHCO 3 Net Effect ↑ tissue perfusion ↑ Blood pH ↑ Tissue Oxygenation ↓ Oxygen Demand Prevention & Treatment of Lactic Acidosis Cause CHEST 2000; 117:260-267
- Communicate our difficulties - Changes - Understanding - Willingness to accommodate Anesthesia Perfusion Surgeon Summary: Intercollaborative Team Effort Taken From: Google Imagies at http://images.google.ca
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