Critical Care Medicine · 2001 · 99 citations · 32 references
The liver is a net producer of lactate in patients with ALF and an elevated whole blood lactate. After liver transplantation, the graft becomes a consumer of lactate as shown by the negative lactate gradient. The degree of consumption is dependent on portal venous lactate concentration and cold ischemic time.
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Early indicators of prognosis in fulminant hepatic failure
John G. O'Grady, Graeme Alexander, Karen M. Hayllar et al. · Gastroenterology · 1989 · 2.1K citations