Control of serum glucose concentration in critical illness.
Curr Opin Pediatr
; 25(3): 297-303, 2013 Jun.
Article
em En
| MEDLINE
| ID: mdl-23657243
ABSTRACT
PURPOSE OF REVIEW Hyperglycemia is a significant problem for children in the ICU. Use of tight glycemic control (TGC) to manage hyperglycemia remains controversial, especially given the potential risk of insulin-induced hypoglycemia. This review will address the latest evidence regarding TGC in critically ill children. RECENT FINDINGS:
Two randomized controlled trials (RCT) involving primarily postoperative cardiac surgery patients demonstrated the feasibility and safety of TGC in pediatric patients. The trials, however, had discrepant results with regards to the benefit of TGC. There is also uncertainty about the generalizability of these results to nonpostoperative cardiac patients. There is only one published study addressing the long-term safety of TGC in children. In this study, hypoglycemia was not associated with adverse effects on neurocognitive development. In contrast, articles from adult studies demonstrate increased risk of death with hypoglycemia.SUMMARY:
Although the clinical benefit of TGC in critically ill children is still unclear, TGC can be done safely in this population.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Glicemia
/
Estado Terminal
/
Hipoglicemiantes
Tipo de estudo:
Clinical_trials
Limite:
Child
/
Humans
Idioma:
En
Revista:
Curr Opin Pediatr
Assunto da revista:
PEDIATRIA
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Estados Unidos