World's Largest Resource for Cardiovascular Perfusion
Recently, the combination of increasing costs for the provisions of blood products1, increasing recognition of the risks associated with transfusion and growing awareness of the possible future shortage of blood supply has raised the interest of the scientific community in the concept of "blood management".
In patients with evidence of adequate perfusion, a type B component is often associated with a concomitant balanced (normal anion gap) metabolic acidosis and hyperglycemia. These patients will benefit from a more nuanced approach to their type B hyperlactatemia, as many will have a benign course and may be managed expectantly.