Journal of AdvancedMedical and Dental Sciences Research

Over the past few decades, significant strides have been achieved in the management of polytraumatized patients, resulting in a notable decrease in mortality rates from 50% in the 1970s to approximately 20% by the year 2000. Two decades ago, the standard approach to treating patients with multiple injuries and fractures involved immobilizing the fractured limb with a splint until the patient could be sufficiently stabilized for fracture fixation surgery.The data collection process commenced with the requisite clearance from the Institution Ethical Committee, and informed consent was obtained from all study participants after a thorough explanation of the survey's purpose. Personal information, including age and gender, was gathered from each patient. Vital signs such as pulse rate, blood pressure, respiratory rate, and temperature, along with parameters like urine output and saturation at room air, were meticulously recorded.Serum lactate levels were assessed both at the time of admission and 1-6 days post-surgery. Notably, a majority (65.6%) of patients exhibited elevated serum lactate levels upon admission, with none registering levels below 4.5mg/dl. Only a minimal 2% of individuals demonstrated higher serum lactate levels in the 1-6 days following admission.