Hypoglycemia in Critically Ill Children

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Hypoglycemia in critically ill children.

BACKGROUND The practice of glycemic control with intravenous insulin in critically ill patients has brought clinical focus on understanding the effects of hypoglycemia, especially in children. Very little is published on the impact of hypoglycemia in this population. We aimed to review the existing literature on hypoglycemia in critically ill neonates and children. METHODS We performed a syst...

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Hypoglycemia in Critically Ill Patients

Dysglycemia is common in critically ill patients. Both hyperglycemia and hypoglycemia are independent risk factors for increased morbidity and mortality. Hypoglycemia severity may even have a ‘dose-response’ relationship with increased mortality(Bagshaw et al., 2009). Acute hypoglycemia induces a systemic, counter-regulatory stress response that leads to an increase in blood norepinephrine, epi...

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Relationship between hypoglycemia and mortality in critically ill children.

OBJECTIVES To determine the prevalence of hypoglycemia in critically ill nondiabetic children and the association of hypoglycemia with mortality and worsening organ function in critically ill children. DESIGN Retrospective cohort study with matched-cohort analysis. SETTING Academic pediatric intensive care unit. PATIENTS A total of 899 nondiabetic patients <18 yrs old admitted to the pedi...

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Unexpected hypoglycemia in a critically ill patient.

Administration of the wrong medication is a serious and understudied problem. Because physicians are not directly involved in the drug administration process, they tend to overlook the possibility of adverse drug events and medication errors in their differential diagnoses of patient illnesses or acute deterioration. This article analyzes the case of a patient with iatrogenic hypoglycemia due t...

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Gut microflora contribute greatly to immune and nutritive functions and act as a physical barrier against pathogenic organisms across the gut mucosa. Critical illness disrupts the balance between host and gut microflora, facilitating colonization, overgrowth, and translocation of pathogens and microbial products across intestinal mucosal barrier and causing systemic inflammatory response syndro...

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ژورنال

عنوان ژورنال: Journal of Diabetes Science and Technology

سال: 2012

ISSN: 1932-2968,1932-2968

DOI: 10.1177/193229681200600107