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Early recognition, aggressive hemodynamic support with ECPella and early hemodialysis can be life-saving. Monitoring of both lactate and S\n                    <jats:sub>v<\/jats:sub>\n                    O\n                    <jats:sub>2<\/jats:sub>\n                    trends can help understand the response to treatment.\n                  <\/jats:p>","DOI":"10.1177\/02676591231181851","type":"journal-article","created":{"date-parts":[[2023,6,5]],"date-time":"2023-06-05T08:03:45Z","timestamp":1685952225000},"page":"1265-1269","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["A case of metformin-associated lactic acidosis with cardiogenic and vasoplegic shock supported by ECPella"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6395-3624","authenticated-orcid":false,"given":"Steven Kin-ho","family":"Ling","sequence":"first","affiliation":[{"name":"Department of Intensive Care, Tuen Mun Hospital, Tuen Mun, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kit Wang","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Intensive Care, Tuen Mun Hospital, Tuen Mun, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hei Yee","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Intensive Care, Tuen Mun Hospital, Tuen Mun, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,6,5]]},"reference":[{"key":"bibr1-02676591231181851","doi-asserted-by":"publisher","DOI":"10.2337\/dci19-0066"},{"key":"bibr2-02676591231181851","doi-asserted-by":"publisher","DOI":"10.2337\/cd21-0043"},{"key":"bibr3-02676591231181851","doi-asserted-by":"publisher","DOI":"10.1016\/j.metabol.2015.10.014"},{"key":"bibr4-02676591231181851","doi-asserted-by":"publisher","DOI":"10.1177\/0885066618793385"},{"key":"bibr5-02676591231181851","doi-asserted-by":"publisher","DOI":"10.1093\/ajcp\/80.4.484"},{"key":"bibr6-02676591231181851","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2015.10.012"},{"key":"bibr7-02676591231181851","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0273678"},{"key":"bibr8-02676591231181851","doi-asserted-by":"publisher","DOI":"10.1007\/s13181-019-00755-6"},{"key":"bibr9-02676591231181851","doi-asserted-by":"publisher","DOI":"10.2165\/00002018-199920040-00006"},{"key":"bibr10-02676591231181851","doi-asserted-by":"publisher","DOI":"10.1007\/s00392-022-02069-0"},{"key":"bibr11-02676591231181851","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000001039"},{"key":"bibr12-02676591231181851","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.120.048792"},{"key":"bibr13-02676591231181851","doi-asserted-by":"publisher","DOI":"10.1016\/j.toxrep.2021.12.010"},{"key":"bibr14-02676591231181851","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000020990"},{"key":"bibr15-02676591231181851","doi-asserted-by":"publisher","DOI":"10.2337\/diab.46.9.1406"},{"key":"bibr16-02676591231181851","doi-asserted-by":"publisher","DOI":"10.1186\/cc8885"},{"key":"bibr17-02676591231181851","doi-asserted-by":"publisher","DOI":"10.2337\/diabetes.55.02.06.db05-1064"},{"key":"bibr18-02676591231181851","doi-asserted-by":"publisher","DOI":"10.1016\/0006-2952(93)90072-5"},{"key":"bibr19-02676591231181851","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2007121329"},{"key":"bibr20-02676591231181851","doi-asserted-by":"publisher","DOI":"10.1186\/cc10487"}],"container-title":["Perfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591231181851","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02676591231181851","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591231181851","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:33:22Z","timestamp":1777656802000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02676591231181851"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,5]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1177\/02676591231181851"],"URL":"https:\/\/doi.org\/10.1177\/02676591231181851","relation":{},"ISSN":["0267-6591","1477-111X"],"issn-type":[{"value":"0267-6591","type":"print"},{"value":"1477-111X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,5]]}}}