⚕️ For clinical reference only. Not a substitute for professional judgment.

Lactate Clearance ICU

Monitors response to sepsis resuscitation. Target ≥10% clearance per hour (Surviving Sepsis Campaign 2021).

Enter lactate values
Enter initial and repeat lactate with time interval.

Lactate Values

mmol/L
mmol/L
hours
When to use
  • Sepsis with lactate ≥2 mmol/L on presentation — recheck at 2 hours
  • Monitoring response to fluid resuscitation and vasopressors
  • ICU and ED acute sepsis management
  • Guidance on escalation of care
Formula
Total clearance (%) = ((Initial − Repeat) ÷ Initial) × 100 Clearance per hour = Total clearance ÷ hours between measurements Target: ≥10% per hour (or ≥20% total at 2h)
References
  • Evans L et al. Surviving Sepsis Campaign International Guidelines 2021. Crit Care Med. 2021.