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Lactate and Lactic acid are frequently used (& often misunderstood) labs in the ICU. This OnePager reviews the physiology of why/how we produce lactic acid and breaks lactic acidosis into two categories: Impaired O2 Delivery (Type A Lactic Acidosis) and Impaired O2 clearance/utilization (Type B Lactic Acidosis). I also discuss the rare and easily missed Type D Lactic acidosis (due to bacterial production of the stereoisomer).
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