Measuring blood lactate concentration at initial evaluation and sequentially over time may be particularly useful to veterinarians managing critically ill neonatal foals. Admission blood lactate concentration, sequentially measured blood lactate concentration, and lactate concentration over time appear to be potential good prognostic indicators of survival in the critically ill foals.
Wotman et al., in their article written under the title “Association of Blood Lactate Concentration and Outcome in Foals”, explain that the rate of decreasing blood lactate concentration has been shown to be associated with improved outcome in humans with severe sepsis and septic shock, suggesting that serial lactate measurements could be a more reliable predictor of survival than a single measurement in foals.
Studies in foals and adult horses have indicated that blood lactate concentration measured at admission and at 18 & 36 hours after admission are useful indicators for both prognosis and treatment efficacy.
The authors concluded that measuring blood lactate concentrations at initial evaluation and sequentially over time may be particularly useful to veterinarians managing critically ill neonatal foals.
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