
Fig. 1
CXR showing the presence of pneumoperitoneum, left sided consolidation and a right sided chest drain from an earlier insertion for a moderate right sided pleural effusion

Fig. 2
Trend of serum lactate, total white blood cell count and heart rate (Day 1 = first day of admission to ICU).

Annex 1
A structured approach to hyperlactatemia and lactic acidosis