Very well said Richard.
Each has it's one place.
Both have different purpose.
Judicious use of both is required in a serial way.

On 30-Oct-2013, at 17:39, [email protected] wrote:

> Apples and oranges.  Lactate is a marker for tissue perfusion and time to 
> clearance of lactate is linked to risk of mortality.  Procalcitonin is 
> helpful for identifying bacterial infection and potentially for de-escalating 
> abx therapy.  If you're designing a protocol for sepsis you can get by 
> without a procalcitonin level, but lactate is a mainstay and critically 
> important. 
> Short answer...LACTATE.
> 
> Rich Levrault DO
> Intensivist
> Holyoke Medical Center
> 
> From: "Jody L Edwards" <[email protected]>
> To: [email protected]
> Sent: Tuesday, October 29, 2013 9:07:02 AM
> Subject: [Sepsis Groups] procalcitonin
> 
> <image001.jpg>
> Our physician group is looking at procalcitonin levels vs lactic acid levels 
> as which one is a more accurate biomarker for severe sepsis and septic shock. 
> Has anyone completed a study regarding this issue. Any comments would be 
> greatly appreciated.
>  
> Thank you,
> Jody
>  
> Jody Edwards MSN, RN
> Sepsis PI Coordinator
> Springfield Regional Medical Center
> 100 Medical Dr. 45504
> 937-523-5268
> [email protected]
>  
> “Education will never be as expensive as ignorance”-Anonymous
>  
>  
>  
>  
> “Confidential – Quality Improvement Information”
> "CONFIDENTIALITY NOTICE:  This message, including any attachments, is for the 
> sole use of the intended recipient(s) and may contain confidential and 
> privileged information. 
> Any unauthorized review, use, disclosure or distribution is prohibited.  If 
> you are not the intended recipient, please contact the sender by reply e-mail 
> and destroy all copies of the original message.
> Privileged and Confidential Quality/Peer Review Document  Pursuant to Ohio 
> Revised Code  2305.24, 2305.25., 2305.251, 2305.252, and 2305.253."
>  
>  
> CONFIDENTIALITY NOTICE: This message, including any attachments, is for the 
> sole use of the intended recipient(s) and may contain confidential and 
> privileged information. Any unauthorized review, use, disclosure or 
> distribution is prohibited. If you are not the intended recipient, please 
> contact the sender by reply e-mail and destroy all copies of the original 
> message. 
> _______________________________________________
> Sepsisgroups mailing list
> [email protected]
> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
> _______________________________________________
> Sepsisgroups mailing list
> [email protected]
> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
_______________________________________________
Sepsisgroups mailing list
[email protected]
http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org

Reply via email to