Tight Glycemic Control in the Neuro-Intensive Care Unit?
نویسندگان
چکیده
منابع مشابه
Glycemic control in the medical intensive care unit.
Hyperglycemia in the critically ill is a well-known phenomenon, even in those without known diabetes. The stress response is due to a complex interplay between counter-regulatory hormones, cytokines, and changes in insulin sensitivity. Illness/infection, overfeeding, medications (e.g., corticosteroids), insufficient insulin, and/or volume depletion can be additional contributors. Acute hypergly...
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Background: Considering the prevalence of skin lesions and drug eruptions in intensive care units and the absence of research about it, we decided to study skin lesions of patients admitted in intensive care unit. Patients and Methods: In this descriptive study all patients admitted in intensive care units of Al-Zahra Hospital in Isfahan in 1376-78 were observed and examined by a resident in De...
متن کاملBlood glucose measurements in arterial blood of intensive care unit patients submitted to tight glycemic control: agreement between bedside tests.
BACKGROUND Implementing tight glycemic control (TGC) in intensive care unit (ICU) patients requires accurate blood glucose (BG) monitoring. We evaluated the performance of two commercially available bedside glucometers, Accu-Chek and HemoCue, in patients admitted to the ICU and in whom TGC was applied. METHODS Thirty-seven adult ICU patients were prospectively included. During 48 hours, BG wa...
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Tight glycaemic control emerged on the scene of critical care in 2001. Surprisingly, not many confirmation trials have been published so far. The randomised controlled trial by De La Rosa and colleagues is a timely and valuable attempt to repeat the landmark Leuven studies. The failure to replicate the beneficial effects of tight glycaemic control may boil down to some less obvious defaults in ...
متن کاملGlycemic control in the intensive care unit and during the postoperative period.
B OTH critical illness and postoperative status are associated with so-called stress-induced hyperglycemia, defined as transient hyperglycemia during illness in patients without previous evidence of diabetes mellitus. The relationship between stress hyperglycemia and poor outcome is largely established for both conditions. In 2001, a large randomized controlled trial (RCT) in critically ill sur...
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ژورنال
عنوان ژورنال: Neurosurgery
سال: 2013
ISSN: 0148-396X
DOI: 10.1227/neu.0b013e318282d804