Vascular trauma and lactate clearance as predictor determining mortality. Case report.

Carlos Andres C. Cortes Samaca, Hector Julio Melendez Florez, sonia margarita vivas garcia, Andrea Juliana Castillo Niño

Affiliation: Escuela de Medicina, Universidad Industrial de Santander, Bucaramanga, Colombia

Keywords: lactate, trauma, clearance, mortality

Categories: Medicine

DOI: 10.17160/josha.5.10.512

Languages: Spanish, Castilian

Introduction: The serial measurement of serum lactate is essential for monitoring the therapeutic response of initial resuscitation and damage control in patients with vascular trauma, as well as a predictor of morbidity and mortality. Case report: We present a 25-year-old male patient who suffers trauma due to knife wound in the thorax with vascular injury, in whom a serial measurement of serum lactate, damage control and resuscitation was performed; subsequently, a vascular lesion was diagnosed, and vascular exploration of the subclavian vessels + arteriotomy was carried out due to the finding of vasospasm in the axillary artery with in situ thrombus and subclavian artery raffia. Conclusions: The serial measurement of serum lactate and its rapid clearance in the first hours of the event successfully predicts a low probability of morbidity and mortality despite the characteristics and severity of the trauma. ©2015 The Authors. Published by the International Academy of Sciences, Humanities, and Arts under the terms of the Creative Commons Attribution License, which permits unrestricted use, provided the original author and source are credited.

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