雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Lactic Acidosis after Cardiac Surgery Treated by Continuous Renal Replacement Therapy in a Patient on Metformin;Report of a Case Nobutoshi Matsumura 1 , Masato Saito 1 , Yoshio Nitta 1 , Seijiro Yoshida 1 1Department of Cardiovascular Surgery, Sendai City Medical Center Keyword: lactic acidosis , continuous renal replacement therapy , metformin , cardiac surgery pp.1121-1123
Published Date 2020/12/1
DOI https://doi.org/10.15106/j_kyobu73_1121
  • Abstract
  • Look Inside
  • Reference

Lactic acidosis is a common condition observed in a patient after cardiac surgery. It is important to identify the pathogenesis of lactic acidosis since the delay of an appropriate treatment leads to high mortality. Metformin overdose has been known as a risk of lactic acidosis, and previous reports have demonstrated that continuous renal replacement therapy (CRRT) is effective. However, it has yet to be known if metformin-related lactic acidosis after cardiac surgery is treatable with CRRT. We, herein, report a case of 64-year-old diabetic male who had been on metformin treatment until 1 day before surgery. He presented lactic acidosis postoperatively and was successfully treated with CRRT. This case suggests that it is necessary to discontinue metformin no later than 2 days before surgery and that CRRT is of use for perioperative lactic acidosis in a patient on metformin.


© Nankodo Co., Ltd., 2020

基本情報

電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂

関連文献

もっと見る

文献を共有