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Assessment and treatment of hyperglycemia in critically ill patients

Hyperglycemia is a commonly encountered issue in critically ill patients in the intensive care setting. The presence of hyperglycemia is associated with increased morbidity and mortality, regardless of the reason for admission (e.g., acute myocardial infarction, status post-cardiovascular surgery, s...

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Autores principales: Viana, Marina Verçoza, Moraes, Rafael Barberena, Fabbrin, Amanda Rodrigues, Santos, Manoella Freitas, Gerchman, Fernando
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação de Medicina Intensiva Brasileira 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4031893/
https://www.ncbi.nlm.nih.gov/pubmed/24770692
http://dx.doi.org/10.5935/0103-507X.20140011
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author Viana, Marina Verçoza
Moraes, Rafael Barberena
Fabbrin, Amanda Rodrigues
Santos, Manoella Freitas
Gerchman, Fernando
author_facet Viana, Marina Verçoza
Moraes, Rafael Barberena
Fabbrin, Amanda Rodrigues
Santos, Manoella Freitas
Gerchman, Fernando
author_sort Viana, Marina Verçoza
collection PubMed
description Hyperglycemia is a commonly encountered issue in critically ill patients in the intensive care setting. The presence of hyperglycemia is associated with increased morbidity and mortality, regardless of the reason for admission (e.g., acute myocardial infarction, status post-cardiovascular surgery, stroke, sepsis). However, the pathophysiology and, in particular, the treatment of hyperglycemia in the critically ill patient remain controversial. In clinical practice, several aspects must be taken into account in the management of these patients, including blood glucose targets, history of diabetes mellitus, the route of nutrition (enteral or parenteral), and available monitoring equipment, which substantially increases the workload of providers involved in the patients' care. This review describes the epidemiology, pathophysiology, management, and monitoring of hyperglycemia in the critically ill adult patient.
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spelling pubmed-40318932014-06-02 Assessment and treatment of hyperglycemia in critically ill patients Viana, Marina Verçoza Moraes, Rafael Barberena Fabbrin, Amanda Rodrigues Santos, Manoella Freitas Gerchman, Fernando Rev Bras Ter Intensiva Review Article Hyperglycemia is a commonly encountered issue in critically ill patients in the intensive care setting. The presence of hyperglycemia is associated with increased morbidity and mortality, regardless of the reason for admission (e.g., acute myocardial infarction, status post-cardiovascular surgery, stroke, sepsis). However, the pathophysiology and, in particular, the treatment of hyperglycemia in the critically ill patient remain controversial. In clinical practice, several aspects must be taken into account in the management of these patients, including blood glucose targets, history of diabetes mellitus, the route of nutrition (enteral or parenteral), and available monitoring equipment, which substantially increases the workload of providers involved in the patients' care. This review describes the epidemiology, pathophysiology, management, and monitoring of hyperglycemia in the critically ill adult patient. Associação de Medicina Intensiva Brasileira 2014 /pmc/articles/PMC4031893/ /pubmed/24770692 http://dx.doi.org/10.5935/0103-507X.20140011 Text en http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Viana, Marina Verçoza
Moraes, Rafael Barberena
Fabbrin, Amanda Rodrigues
Santos, Manoella Freitas
Gerchman, Fernando
Assessment and treatment of hyperglycemia in critically ill patients
title Assessment and treatment of hyperglycemia in critically ill patients
title_full Assessment and treatment of hyperglycemia in critically ill patients
title_fullStr Assessment and treatment of hyperglycemia in critically ill patients
title_full_unstemmed Assessment and treatment of hyperglycemia in critically ill patients
title_short Assessment and treatment of hyperglycemia in critically ill patients
title_sort assessment and treatment of hyperglycemia in critically ill patients
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4031893/
https://www.ncbi.nlm.nih.gov/pubmed/24770692
http://dx.doi.org/10.5935/0103-507X.20140011
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