How much insulin is acceptable following aneurysmal subarachnoid hemorrhage?
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چکیده
منابع مشابه
How much insulin is acceptable following aneurysmal subarachnoid hemorrhage?
The authors focused on the initial 12 hours following insulin administration and showed stable blood glucose concentrations with an average of approximately 8 mM. Given a predefined limit of intervention (140 mg/dl = 7.8 mM), the administered insulin dose must therefore have been rather small. Blood glucose appeared stable at least during the presented 14-hour period, which is also in line with...
متن کاملIs continuous insulin treatment safe in aneurysmal subarachnoid hemorrhage?
OBJECTIVES To investigate the long-term effect of continuous insulin infusion for glucose control on cerebral metabolism in aneurysmal subarachnoid hemorrhage (SAH) patients. METHODS Prospective, nonrandomized study of 31 SAH patients in the ICU (52 +/- 10 years, WFNS Grade 2.9 +/- 1.6). A microdialysis catheter was inserted into the vascular territory of the aneurysm. Metabolic changes durin...
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From the Departments of Neurology ( J.I.S.), Radiology (R.W.T.), and Neurosurgery (W.R.S.), University Hospitals of Cleveland, Case Western Reserve University, Cleveland. Address reprint requests to Dr. Suarez at the Department of Neurology, Neurosciences Critical Care and Cerebrovascular Center, University Hospitals of Cleveland, Case Western Reserve University, 11100 Euclid Ave., Cleveland, O...
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Aneurysmal subarachnoid hemorrhage (SAH) is a worldwide health burden with high fatality and permanent disability rates. The overall prognosis depends on the volume of the initial bleed, rebleeding, and degree of delayed cerebral ischemia (DCI). Cardiac manifestations and neurogenic pulmonary edema indicate the severity of SAH. The International Subarachnoid Aneurysm Trial (ISAT) reported a fav...
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ژورنال
عنوان ژورنال: Critical Care
سال: 2008
ISSN: 1364-8535
DOI: 10.1186/cc6783