Insulin Infusion via an Intraosseous Needle in Diabetic Ketoacidosis

Insulin in special situations: diabetic ketoacidosis.

K is a potential life-threatening metabolic complication of diabetes mellitus. Although it is commonly associated with type 1 diabetes, it can also occur in patients with type 2 disease during catabolic periods of stress.1 In contrast with the widespread belief, diabetic ketoacidosis (DKA) is more common in adults than in children.2 Inspite of impressive advances in its understanding and manage...

Use of a Computer-Based Insulin Infusion Algorithm to Treat Diabetic Ketoacidosis in the Emergency Department.

BACKGROUND Efforts at improving quality metrics in diabetes focus on minimizing adverse events and avoiding re-admissions to the hospital. Our experience with Glucommander™ (Glytec, Greenville, SC), a cloud-based insulin management software system, suggested that its use in the emergency department (ED) would be useful in treating patients with mild diabetic ketoacidosis (DKA). MATERIALS AND ...

Predicting risk of diabetic ketoacidosis in patients using continuous subcutaneous insulin infusion.

The feasibility of inducing mild therapeutic hypothermia after cardiac resuscitation using iced saline infusion via an intraosseous needle.

OBJECTIVE This study was done, using a swine model of prolonged ventricular fibrillation out-of-hospital cardiac arrest, to determine the feasibility of inducing therapeutic hypothermia after successful resuscitation by giving an intraosseous infusion of iced saline. METHODS This study was IACUC approved. Liter bags of normal saline, after being refrigerated for at least 24h, were placed in a...

A Continuous Subcutaneous Insulin Infusion Needle Break

Our patient was 13 years and 2 months old, a white boy with type 1 diabetes diagnosed 2 years and 5 months before this adverse event (AE). He had no other significant medical history. His A1C was 7.6% 1 month before the insulin infusion needle break event. The patient had started on the t-slim insulin pump (Tandem Diabetes Care, San Diego, Calif.) 1 year and 6 days before the AE occurred. He wa...