A listener, Øyvind S Holen, and the PrecordialThumper both alerted me to an article recently published by Paul Marik and Rinaldo Bellomo:
Lactate clearance as a target of therapy in sepsis: a flawed paradigm
In the paper, they discuss many of the misunderstandings re: lactate and lactate clearance. This wee is my response. I'd love to hear your opinions.