Severe Non-Occlusive Mesenteric Ischemia without Lactate Elevation

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Severe Non-Occlusive Mesenteric Ischemia without Lactate Elevation. / Paparoupa, Maria; Schuppert, Frank.

In: Austin Dig Syst, Vol. 2, No. 1, 2017, p. 1007.

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@article{d4b18ade0b4347d2992240ae39c5c127,
title = "Severe Non-Occlusive Mesenteric Ischemia without Lactate Elevation",
abstract = "Non-occlusive mesenteric ischemia is frequent in critically ill patients with hemodynamic instability. Plasma Lactate is a marker of tissue hypoperfusion and its diagnostic significance in the setting of mesenteric ischemia remains controversial. We present a case of severe non-occlusive mesenteric ischemia without lactate elevation over normal values although extended intestinal necrosis requiring right hemicolectomy and total ileoectomy was present. Serial lactate concentration measurements were insufficient to detect intestinal hypoperfusion and predict the length of bowel necrosis.The pre-and postoperative clinical monitoring was subsequently guided by vasoactive medication demand.",
author = "Maria Paparoupa and Frank Schuppert",
year = "2017",
language = "English",
volume = "2",
pages = "1007",
journal = "Austin Dig Syst",
number = "1",

}

RIS

TY - JOUR

T1 - Severe Non-Occlusive Mesenteric Ischemia without Lactate Elevation

AU - Paparoupa, Maria

AU - Schuppert, Frank

PY - 2017

Y1 - 2017

N2 - Non-occlusive mesenteric ischemia is frequent in critically ill patients with hemodynamic instability. Plasma Lactate is a marker of tissue hypoperfusion and its diagnostic significance in the setting of mesenteric ischemia remains controversial. We present a case of severe non-occlusive mesenteric ischemia without lactate elevation over normal values although extended intestinal necrosis requiring right hemicolectomy and total ileoectomy was present. Serial lactate concentration measurements were insufficient to detect intestinal hypoperfusion and predict the length of bowel necrosis.The pre-and postoperative clinical monitoring was subsequently guided by vasoactive medication demand.

AB - Non-occlusive mesenteric ischemia is frequent in critically ill patients with hemodynamic instability. Plasma Lactate is a marker of tissue hypoperfusion and its diagnostic significance in the setting of mesenteric ischemia remains controversial. We present a case of severe non-occlusive mesenteric ischemia without lactate elevation over normal values although extended intestinal necrosis requiring right hemicolectomy and total ileoectomy was present. Serial lactate concentration measurements were insufficient to detect intestinal hypoperfusion and predict the length of bowel necrosis.The pre-and postoperative clinical monitoring was subsequently guided by vasoactive medication demand.

M3 - SCORING: Journal article

VL - 2

SP - 1007

JO - Austin Dig Syst

JF - Austin Dig Syst

IS - 1

ER -