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Intensive care

G72 LATE ONSET HYPERLACTATAEMIA FOLLOWING PAEDIATRIC CARDIAC SURGERY
L. Jackman, N. Shetty, P. Davies, K. Morris.Birmingham Children’s Hospital, Birmingham, UK

Introduction: We have observed a number of children admitted after surgery with a normal lactate who develop late onset hyperlactatemia (>3 mmol/l) within the following 12 hours. We undertook this study to determine the incidence of and risk factors for late onset hyperlactatemia and whether this group of children have adverse clinical outcomes. We elected to study two cohorts of children, firstly a homogeneous group undergoing a single procedure, the Fontan operation, and secondly a more heterogeneous group of children undergoing a variety of procedures requiring CPB.

Methods: A retrospective study in the paediatric intensive care unit of a tertiary referral centre. Cohort 1: 64 patients undergoing a fenestrated Fontan procedure, mean (SD) age 5.4 (1.9) years. Cohort 2: 84 patients aged 3–16 years (mean 7.8 (3.8) years) undergoing mixed procedures. Operative details were recorded. Arterial blood . . . [Full text of this article]