The effect of glucose-potassium-insulin (GKI) infusion on the blood pressure and hormonal response to acute stroke.

نویسندگان

  • Janice E O'Connell
  • Steven J Yeomans
  • Anthony J Hildreth
  • Christopher S Gray
چکیده

1. Anon. COPD and treatment. Bandolier 2002; 98: 2. 2. Anon. Trends in COPD. Factsheet 2003/1. Lung asthma and information agency. Community Sciences Centre, St Georges Medical School, 2003 (1). 3. Maguire CP, Ryan J, Kelly A, O’Neill D, Coakley D, Walsh JB. Do patient age and medical condition influence medical advice to stop smoking? Age Ageing 2000; 29: 264–6. 4. Yohannes AM, Connolly MJ. Pulmonary rehabilitation programmes in the UK: a national representative survey. Clin Rehabil 2004; 18: 444–9. 5. Anon. The British Thoracic Society Guidelines for the management of chronic obstructive pulmonary disease. The COPD Guidelines Group of the Standards of Care Committee of the BTS. Thorax 1997 52 (Suppl 5): S1-28. 6. Allen SC. Competence thresholds for use of inhalers in people with dementia. Age Ageing 1997; 26: 83–6. 7. Connolly MJ. Inhaler technique in elderly patients: comparison of metered dose inhalers and large volume spacer devices. Age Ageing 1995; 24: 190–2. 8. Allen SC, Prior A. What determines whether an elderly patient can use a metered dose inhaler correctly? Br J Dis Chest 1986; 80: 45–9. 9. Jones V, Fernandez C, Diggory P. A randomized prospective comparison of inhaler technique among elderly people using one of: Easibreathe, Turbohaler or a metered dose inhaler and Volumatic for the first time. Age Ageing 1999; 28: 481–4. 10. Harris T, Cook EF, Kannel WB, Goldman L. Proportional hazards analysis of risk factors for coronary heart disease in individuals aged 65 or older. The Framingham Heart Study. J Am Geriatr Soc 1988; 36: 1023–8. 11. Higgins MW, Enright PL, Kronmal RA, Schenker MB, Anton-Culver H, Lyles M. Smoking and lung function in elderly men and women. The Cardiovascular Health Study. JAMA 1993; 269: 2741–8. 12. West R, McNeill A, Raw M. Smoking cessation guidelines for health professionals: an update. Health Education Authority. Thorax 2000; 55: 987–99. 13. Couser JI Jr, Guthmann R, Hamadeh MA, Kane CS. Pulmonary rehabilitation improves exercise capacity in older elderly patients with COPD. Chest 1995; 107: 730–4. 14. Roomi J, Johnson MM, Waters K, Yohannes A, Helm A, Connolly MJ. Respiratory rehabilitation, exercise capacity and quality of life in chronic airways disease in old age. Age Ageing 1996; 25: 12–16. 15. National Collaborating Centre for Chronic Conditions. Chronic obstructive pulmonary disease. National clinical guidelines on the management of chronic obstructive pulmonary disease in adults in primary and secondary care. Thorax 2004; 59(suppl 1): 1–232.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Glucose potassium insulin infusions in the treatment of acute stroke patients with mild to moderate hyperglycemia: the Glucose Insulin in Stroke Trial (GIST).

BACKGROUND AND PURPOSE Hyperglycemia following acute stroke is strongly associated with subsequent mortality and impaired neurological recovery, but it is unknown whether maintenance of euglycemia in the acute phase improves prognosis. Furthermore, the safety of such intervention is not established. METHODS In an explanatory, randomized, controlled trial to test safety, 53 acute (within 24 ho...

متن کامل

Blood pressure response to glucose potassium insulin therapy in patients with acute stroke with mild to moderate hyperglycaemia.

Insulin is neuroprotective in animal stroke models but its effects in acute stroke in humans are unknown. The Glucose Insulin in Stroke Trial (GIST-UK) is a randomised controlled trial investigating the benefits of maintaining euglycaemia in hyperglycaemic patients with acute stroke. Data are reported from a GIST-UK substudy which sought to determine the influence of glucose potassium insulin (...

متن کامل

محلول "گلوکز- انسولین‌ـ پتاسیم" در سکته‌ مغزی ایسکمیک: کارآزمایی بالینی

Background: Hyperglycemia after acute stroke is a common finding that has been associated with an increased risk of death. For the last several years, it was believed that post-stroke hyperglycemia may worsen brain infarction in animal models. According to previous studies, the anti-inflammatory effect of insulin has a protective role on ischemic tissues. Glucose-insulin-potassium (GIK) infusio...

متن کامل

Ineffectiveness of glucose, potassium, and insulin infusion during pacing stress in chronic ischemic heart disease.

Eight patients with coronary artery disease and positive exercise electrocardiograms undergoing cardiac catheterization were subjected to periods of atrial pacing-induced tachycardia at identical rates, before and during a glucose, potassium, and insulin (GKI) infusion. Steady state elevation of glucose and insulin was obtained prior to repeating the atrial pacing test in the GKI state. With ea...

متن کامل

The Effects of Lipid Emulsion on the Improvement of Glasgow Coma Scale and Reduction of Blood Glucose Level in the Setting of Acute Non-Local Drug Poisoning: A Randomized Controlled Trial

Background: Our aim was to evaluate the effect of intravenous intralipid administration as an antidote on the poisoned patients' Glasgow Coma Scale (GCS), hemodynamic parameters, arterial blood gas analysis, and routine metabolic profile tests (i.e. urea, glucose, sodium, and potassium) in the setting of non-local anesthetic drug overdose. Methods: In this randomized controlled trial, a tota...

متن کامل

The effects of short term intravenous infusion of a soybean based lipid emulsion on some blood constituents in sheep: A preliminary study

To evaluate the effect of intravenous infusion of a soybean based lipid emulsion (Lipovenoes 10%) on some blood constituents in sheep, a replicated 2 × 2 Latin square design experiment was conducted in four clinically healthy ewes. Lipid emulsion (LE group) or normal saline (NS group) was infused intravenously at a rate of 0.025 mL kg-1 per min for 6 hr and the concentrations of bloo...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Age and ageing

دوره 34 3  شماره 

صفحات  -

تاریخ انتشار 2005