Vol. 4, Issue 2, Part F (2020)

Author(s): Dr. Ishant Chaurasia and Dr. Tanya Agrawal Chaurasia

Abstract: A prospective, non-intervention study was undertaken after ethical committee approval in the Department of Surgery, Index Medical College Hospital & Research Centre, Indore. Persistent higher LACTATE levels in non-survivors in major trauma and sepsis after 48 hours. And gradually decrease level in survivor. Thus, rising serum lactate levels suggest early prediction of shock and mortality. (p values less than 0.01). Rising serum lactate levels predict mortality in trauma and sepsis irrespective of age of patients. Because results are statistically insignificant (p > 0.01). Organ dysfunction suggest higher mortality in trauma and sepsis patients. Statistically significant (p<0.01) Traditional parameters of monitoring no doubt have value in following patient condition; however serial lactate values afford a more objective appraisal. 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.