Impacto de los niveles máximos de lactato en cirugía cardíaca
DOI:
https://doi.org/10.61708/424zna24Keywords:
lactate, cardiac surgery, intraoperative complications, postoperative complications, hyperlactatemiaAbstract
Underlying pathological processes, surgical stress, and the use of extracorporeal circulation can be causes of hyperlactatemia, which can ori- ginate from both hypoxic and non-hypoxic mechanisms. Objective: Deter- mine the impact of maximum lactate levels in patients who have undergone cardiac surgery at Luis Vernaza Hospital.
Materials and methods: This study is characterized as a prospective, non-experimental, analytical, longitudinal, and correlational study. The study sample includes all patients over eighteen who have undergone cardiac surgery between August 2021 and October 2022 at Luis Vernaza Hospital. The data will be tabulated by creating an Excel template, and the results will be analyzed using IBM SPSS Statistics version 25.0. To assess the significance of the results, the Student t-test will be used with a significance level set at p<0.05. Regarding qualitative variables, a descriptive analysis of frequency and percentage will be conducted, and their p-values will be determined using a chi-square test.
Results: 50% of patients under- going cardiac surgery present hyperlactatemia, and this condition is associated with higher immediate intraoperative and postoperative complications (p=0.047). Discussion: Hyperlactatemia after cardiac surgery is related to a higher mortality rate, increased extracorporeal circulation time, and greater complications, among which bleeding, neurological complications, and renal
failure stand out. Conclusions: It is important to understand the relationship between elevated early intraoperative lactate levels after cardiac surgery and associated complications, in order to establish guidelines that can anticipate potential adverse consequences or reduce the mortality rate
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