Relative Hyperglycemia, a Marker of Critical Illness: Introducing the Stress Hyperglycemia Ratio

Critical illness hyperglycemia in pediatric cardiac surgery.

Critical illness hyperglycemia (CIH) is common in pediatric and adult intensive care units (ICUs). Children undergoing surgical repair or palliation of congenital cardiac defects are particularly at risk for CIH and its occurrence has been associated with increased morbidity and mortality in this population. Strict glycemic control through the use of intensive insulin therapy (IIT) has been sho...

Stress hyperglycemia in pediatric critical illness: the intensive care unit adds to the stress!

Stress hyperglycemia (SH) commonly occurs during critical illness in children. The historical view that SH is beneficial has been questioned in light of evidence that demonstrates the association of SH with worse outcomes. In addition to intrinsic changes in glucose metabolism and development of insulin resistance, specific intensive care unit (ICU) practices may influence the development of SH...

Hyperglycemia in acute illness.

Stress Induced Hyperglycemia and the Subsequent Risk of Type 2 Diabetes in Survivors of Critical Illness

OBJECTIVE Stress induced hyperglycemia occurs in critically ill patients who have normal glucose tolerance following resolution of their acute illness. The objective was to evaluate the association between stress induced hyperglycemia and incident diabetes in survivors of critical illness. DESIGN Retrospective cohort study. SETTING All adult patients surviving admission to a public hospital...

Hyperglycemia of Critical Illness and Pulmonary Arterial Hypertension

1. Distinguish the risks of hyperglycemia of critical illness (HCI) in children compared with adults. 2. Give an opinion about when a child with HCI is at increased risk of morbidity and mortality. 3. Design appropriate insulin orders for children with HCI. 4. Distinguish between the various treatments for children with pulmonary arterial hypertension (PAH) and determine when to recommend them....