Gambaran Nilai Laktat, ScvO2, dan PvaCO2 GAP pada Pasien Sepsis di Rumah Sakit Umum Pusat Haji Adam Malik Medan

Abstract

Background A prognostic predictive value in patients with sepsis and septic shock is needed to determine the aggressiveness of the therapy we will choose. Various methods are used to predict patient mortality. Based on this, a marker is needed to assess tissue perfusion disorders. Lactate and, SvO2, and PvaCO2 gaps are commonly used as initial biomarkers to assess tissue perfusion and cellular oxygenation. Objective To describe the value of lactate, ScvO2, and PvaCO2 gap in septic patients. Methods This study is a descriptive analytic study of 40 patients who assessed the description of lactate, ScvO2, and PvaCO2 gap values in septic patients. Starting with collecting data on research samples that meet the inclusion and exclusion criteria, providing explanations to the families of patients who are research subjects, taking blood samples, and analyzing the data. Results In this study, the lactate values were found in the normal range with an average of 1.45 ± 1.81, the ScvO2 value increased by an average of 91.29 ± 7.91, and the PvaCO2 gap value increased by an average of 11,52 ± 8,28. Conclusion In this study, the description of the lactate, ScvO2, and PvaCO2 gap values in sepsis patients varied.