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Refractory Lactic Acidosis and an Approach to Its Management - A Case Report

,  e   
13 mag 2019
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Fig. 1

CXR showing the presence of pneumoperitoneum, left sided consolidation and a right sided chest drain from an earlier insertion for a moderate right sided pleural effusion
CXR showing the presence of pneumoperitoneum, left sided consolidation and a right sided chest drain from an earlier insertion for a moderate right sided pleural effusion

Fig. 2

Trend of serum lactate, total white blood cell count and heart rate (Day 1 = first day of admission to ICU).
Trend of serum lactate, total white blood cell count and heart rate (Day 1 = first day of admission to ICU).

Annex 1

A structured approach to hyperlactatemia and lactic acidosis
A structured approach to hyperlactatemia and lactic acidosis