| Author/Editor | Cerović, Ognjen | |
| Title | Odnos težine ozljede i razine serumskih laktata u ozlijeđenih osoba | |
| Translated title | The relationship between injury severity and blood lactate concentrations in injured patients | |
| Type | monografija | |
| Place | Rijeka | |
| Publisher | Sveučilušte u Rijeci, Medicinski fakultet | |
| Publication year | 2000 | |
| Volume | str. 66 | |
| Language | cro | |
| Abstract | In economically developed countries of Europe and America, severe trauma has been recognized as the leading cause of death, especially in younger population groups. Severe injuries occur most commonly in road accidents, while guns and other weapons most frequently produce penetrating injuries. The assessment of the severity of trauma based on various injury scoring systems improves the triage of trauma patients, facilitates the comparison of the degree of injury severity in individual patients, and enables the emergency physician to evaluate the effectiveness of therapeutic interventions and predict survival. Severe trauma is frequently associated with loss of circulating blood volume, hypovolemic shock, perfusion derangements, tissue hypoxia, oxygen debt and the resulting elevation of blood lactate levels, increased shock index (SI) and disturbances of acid-base balance. Elevated blood lactose concentrations have been generally accepted as a reliable indicator of tissue hypoxia. Return of lactate levels to normal range is an important indicator of repayment of the oxygen debt, and is compatible with improvement of the patient's condition. The study conducted at the Department of Anaesthetics and Surgical Intensive Therapy, University Medical Centre Ljubljana, involved 98 severely injured adult patients with ISS (Injury Severity Score) of 16 or greater. After receiving initial medical care in the Surgical Emergency Unit, all patients were transferred to the Central Intensive Care Unit. Blood lactate levels were measured once on admission to the Surgical Emergency Unit, 12-hourly during the following two days, and once daily during the next three days. (Abstract truncated at 2000 characters) | |
| Descriptors | INJURY SEVERITY SCORE INTENSIVE CARE UNITS LACTATES ABBREVIATED INJURY SCALE PROGNOSIS TRIAGE TRAUMA SEVERITY INDICES FATAL OUTCOME SHOCK, TRAUMATIC |