The Role Of Blood Lactate Testing In Optimizing Sports Performance

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Lactate Is A Well-Known Metabolite In Both The Clinical And Applied Sports Performance Sectors. It Has Been Popularized Endurance Sports Due To The Abundance Of Literature Published On The Role Of Lactate In Performance And Changes In Lactate Metabolism Through Various Training Interventions, To Name A Few. Additionally, Due To The Relative Ease Of Measurement Of This Physiological Marker, Coaches, Athletes, And Sport Scientists Can Monitor Lactate Response Both In The Lab And Outdoors.

In This Webinar, You Will Learn About The Bioenergetics Of Lactate During Exercise, Its Role In Endurance And Team Sports, Expected Adaptations To Training, And Basics Of Taking Measurements. Both Theoretical And Practical Topic Areas Will Be Presented, With A Focus On The More Practical Side Of The Application Of Lactate Data To Sports Performance. You Will Also Hear Additional Data Regarding Lactate Measurement Accuracy, Use Of The Nova Lactate Plus Meter For Athlete Training, And The Use Of Lactate Testing In Other Settings.

Presenters:
Ryan Kohler, MS, USAW
Head Coach & Physiologist
Fast Talk Labs In Boulder, CO

Dennis Begos, MD, FACS, FACRS
Medical Director, Medical And Scientific Affairs
Nova Biomedical

日本版敗血症診療ガイドライン2020のポイントと迅速乳酸値測定の意義

日時: 2021年12月23日 (木曜日)時間: 18:00 (日本標準時)以降はオンデマンドで視聴可能です。

所要時間: 45 分

このウェビナーを視聴する

概要

敗血症診療における乳酸値測定の意義を ガイドライン策定メンバーでもある 札幌医科大学 医学部 集中治療学 准教授 巽 博臣先生にお話しいただきました。
敗血症診療にかかわる先生方、あるいは、簡単で素早い乳酸値測定法が気になる先生方、必見のウェビナーです。

「日本版敗血症診療ガイドライン2020」は、2016年版からどう進化したのか、どのように捉えるべきものなのか。

「重症患者への栄養療法」を駆使する演者の眼から、気をつけたいCQ（例：敗血症患者への栄養投与は経腸栄養と経静脈栄養のどちらを行うか？）のピックアップ解説。

続く後段で、敗血症診療における迅速な乳酸値測定の意義に関して、腸管壊死の症例とその際の乳酸値データ推移の事例を紹介しつつ考察。
 

演者

巽 博臣 先生(Dr.Hiroomi TATSUMI)
札幌医科大学 医学部 集中治療学 准教授

Prevenção de erros pré-analíticos em testes de cuidados intensivos: K, Na, Ca ionizado, pO2 / CO-oximetria e Lactato

Duração: 1 hora

Este webinar abordará questões como técnicas de coleta, contaminação com fluidos IV, hemólise, problemas de transporte, incluindo atrasos e transporte pneumático, efeitos de anticoagulantes, mistura inadequada e coleta de sangue com tubos capilares. Para ilustrar alguns desses pontos, vários exemplos de casos serão apresentados.

Os participantes irão:

1. Descrever as causas comuns de erros pré-analíticos:

• Coleta de amostra: contaminação de fluido IV, hemólise, coágulos, anticoagulante errado, etc.
• Transporte de amostra: gelo, atraso de tempo, transporte pneumático

2. Listar as causas comuns de hemólise e como relatar os resultados em amostras hemolisadas:

• Ruptura celular durante a coleta, compressão de tecido, atrasos no transporte, temperaturas extremas, força de centrifugação, in vivo.

3. Implementar práticas para minimizar erros pré-analíticos nos testes de Na, K, Ca ionizado, lactato e gasometria / oximetria.

Palestrante:

John Toffaletti
Lab Director; Professor of Pathology

Dr. Toffaletti joined the faculty at Duke University Medical Center in 1979 after receiving his PhD from University of North Carolina, Chapel Hill and completing residency training in clinical chemistry at Hartford Hospital. He is now Professor of Pathology and has served in a variety of positions including Associate Director of Clinical Chemistry, Director of Blood Gas Laboratory, Director of the Clinical Pediatric Laboratory, and Director of (three) Outpatient Laboratories. He has authored over 60 publications in peer-reviewed journals and including definitive works on identifying the specific forms of bound calcium in serum, their physiologic importance, and their effects on parathyroid hormone (PTH) secretion in humans. In the area of magnesium, his work on PTH secretion was the first to confirm the specific effect of ionized magnesium on PTH secretion while ionized calcium was held constant as confirmed by direct measurement of ionized calcium. Dr. Toffaletti has published reports on blood lactate measurements in critical care and the effects of sample collection, storage, and transport on clinical laboratory measurements, notably one showing how pneumatic transport affects pO2 results. Additionally, Dr. Toffaletti authored two editions of Blood Gases and Electrolytes (AACC Press) having sold over 1500 copies since 2002.

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