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Intraoperative Hyperlactatemia during Facial Gender Affirmation Surgery
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Hyperlactatemia is defined as elevations in blood lactate >2 mmol above baseline without concurrent metabolic acidosis [1]. Prolonged hyperlactatemia can be an independent risk factor for worse outcomes as lactate is a byproduct of anaerobic metabolism and linked with tissue ischemia and/or organ dysfunction. In head and neck surgical patients, normalization of hyperlactatemia is crucial to decrease mortality and postoperative complications [2]. However, even in critically-ill surgical patients, hyperlactatemia is not necessarily indicative of circulatory failure [3]. Our center has anecdotally noted hyperlactatemia in patients undergoing Facial Gender-Affirmation Surgery (FGAS), but it remains unclear whether it corresponds directly to adverse clinical outcomes. The present study sought to examine implications of intraoperative hyperlactatemia during FGAS.
Open Source Publications
Title: Intraoperative Hyperlactatemia during Facial Gender Affirmation Surgery
Description:
Hyperlactatemia is defined as elevations in blood lactate >2 mmol above baseline without concurrent metabolic acidosis [1].
Prolonged hyperlactatemia can be an independent risk factor for worse outcomes as lactate is a byproduct of anaerobic metabolism and linked with tissue ischemia and/or organ dysfunction.
In head and neck surgical patients, normalization of hyperlactatemia is crucial to decrease mortality and postoperative complications [2].
However, even in critically-ill surgical patients, hyperlactatemia is not necessarily indicative of circulatory failure [3].
Our center has anecdotally noted hyperlactatemia in patients undergoing Facial Gender-Affirmation Surgery (FGAS), but it remains unclear whether it corresponds directly to adverse clinical outcomes.
The present study sought to examine implications of intraoperative hyperlactatemia during FGAS.
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