Lactate is one of the most misunderstood labs in the ICU. A high lactate doesn’t automatically mean sepsis. It tells you the body’s tissues may not be getting enough oxygen, or they’re under significant stress. The next step is figuring out why. When I see an elevated lactate, I always ask: • Is oxygen delivery adequate? • What does the blood pressure look like? • Is cardiac output enough? • Is this improving or getting worse over time? That simple framework helps you understand what the number
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Lactate is one of the most misunderstood labs in the ICU. A high lactate doesn’t automatically mean sepsis. It tells you the body’s tissues may not be getting enough oxygen, or they’re under significant stress. The next step is figuring out why. When I see an elevated lactate, I always ask: • Is oxygen delivery adequate? • What does the blood pressure look like? • Is cardiac output enough? • Is this improving or getting worse over time? That simple framework helps you understand what the number
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