Hyperglycemia and use of the insulin in critically ill child [Abstract in English]
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Data de Publicação: | 2007 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Scientia Medica (Porto Alegre. Online) |
Texto Completo: | https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1624 |
Resumo: | Objective: To describe the evidences on mechanisms of hyperglycemia and insulin resistance in sepsis and septic shock, its repercussions in morbidity and mortality in Pediatric Intensive Care Units, as well as results and security of the use of the insulin. Methods: Literature review from MEDLINE database between 1998 and 2005, using the terms insulin, hyperglycemia, sepsis and septic shock. Results: Studies in adults report benefits in mortality and morbidity with strict hyperglycemic control and use of insulin. Studies involving pediatric patients, in the majority retrospective, present similar results. The risk of hypoglycemia does not seem to be significant. Conclusions: Although the published studies had not yet brought evidences definitive in pediatric patients, it seems rational to offer hyperglycemic control and use of insulin when necessary. Clinical protocols of hyperglycemia control and use of insulin in these patients are required. KEY WORDS: SEPSIS, SHOCK SEPTIC, INSULIN, HYPERGLYCEMIA. |
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Hyperglycemia and use of the insulin in critically ill child [Abstract in English]Hiperglicemia e uso da insulina na criança criticamente enfermaObjective: To describe the evidences on mechanisms of hyperglycemia and insulin resistance in sepsis and septic shock, its repercussions in morbidity and mortality in Pediatric Intensive Care Units, as well as results and security of the use of the insulin. Methods: Literature review from MEDLINE database between 1998 and 2005, using the terms insulin, hyperglycemia, sepsis and septic shock. Results: Studies in adults report benefits in mortality and morbidity with strict hyperglycemic control and use of insulin. Studies involving pediatric patients, in the majority retrospective, present similar results. The risk of hypoglycemia does not seem to be significant. Conclusions: Although the published studies had not yet brought evidences definitive in pediatric patients, it seems rational to offer hyperglycemic control and use of insulin when necessary. Clinical protocols of hyperglycemia control and use of insulin in these patients are required. KEY WORDS: SEPSIS, SHOCK SEPTIC, INSULIN, HYPERGLYCEMIA.Objetivo: Descrever as evidências sobre mecanismos da hiperglicemia e resistência à insulina na sepse grave e choque séptico, suas repercussões em morbimortalidade nas Unidades de Tratamento Intensivo Pediátrico, assim como resultados e segurança do uso da insulina. Método: Revisão bibliográfica no banco de dados MEDLINE no período de 1998 a 2005, utilizando os termos insulina, hiperglicemia, sepse e choque séptico. Síntese dos dados: Estudos em adultos, relatam benefícios em mortalidade e morbidade com controle glicêmico estrito e uso de insulina. Os trabalhos envolvendo pacientes pediátricos, na maioria retrospectivos, apontam para resultados semelhantes. Os riscos de hipoglicemia não parecem significativos. Conclusões: Embora ainda não se disponha de evidências adequadas, parece prudente oferecer, aos pacientes pediátricos, controle glicêmico e uso de insulina quando necessário. Sugere-se protocolo clínico de controle glicêmico e uso da insulina nestes pacientes. DESCRITORES: HIPERGLICEMIA; CHOQUE SÉPTICO; INSULINA; SEPSE; UNIDADES DE TERAPIA INTENSIVA PEDIÁTRICA; CRIANÇA. Editora da PUCRS - ediPUCRS2007-03-16info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/1624Scientia Medica; Vol. 16 No. 2 (2006)Scientia Medica; v. 16 n. 2 (2006)1980-61081806-5562reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporenghttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/1624/1198https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1624/7915Baldasso, ElisaGarcia, Pedro Celiny RamosPiva, Jefferson PedroBranco, Ricardoinfo:eu-repo/semantics/openAccess2012-06-25T15:00:25Zoai:ojs.revistaseletronicas.pucrs.br:article/1624Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2012-06-25T15:00:25Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.none.fl_str_mv |
Hyperglycemia and use of the insulin in critically ill child [Abstract in English] Hiperglicemia e uso da insulina na criança criticamente enferma |
title |
Hyperglycemia and use of the insulin in critically ill child [Abstract in English] |
spellingShingle |
Hyperglycemia and use of the insulin in critically ill child [Abstract in English] Baldasso, Elisa |
title_short |
Hyperglycemia and use of the insulin in critically ill child [Abstract in English] |
title_full |
Hyperglycemia and use of the insulin in critically ill child [Abstract in English] |
title_fullStr |
Hyperglycemia and use of the insulin in critically ill child [Abstract in English] |
title_full_unstemmed |
Hyperglycemia and use of the insulin in critically ill child [Abstract in English] |
title_sort |
Hyperglycemia and use of the insulin in critically ill child [Abstract in English] |
author |
Baldasso, Elisa |
author_facet |
Baldasso, Elisa Garcia, Pedro Celiny Ramos Piva, Jefferson Pedro Branco, Ricardo |
author_role |
author |
author2 |
Garcia, Pedro Celiny Ramos Piva, Jefferson Pedro Branco, Ricardo |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Baldasso, Elisa Garcia, Pedro Celiny Ramos Piva, Jefferson Pedro Branco, Ricardo |
description |
Objective: To describe the evidences on mechanisms of hyperglycemia and insulin resistance in sepsis and septic shock, its repercussions in morbidity and mortality in Pediatric Intensive Care Units, as well as results and security of the use of the insulin. Methods: Literature review from MEDLINE database between 1998 and 2005, using the terms insulin, hyperglycemia, sepsis and septic shock. Results: Studies in adults report benefits in mortality and morbidity with strict hyperglycemic control and use of insulin. Studies involving pediatric patients, in the majority retrospective, present similar results. The risk of hypoglycemia does not seem to be significant. Conclusions: Although the published studies had not yet brought evidences definitive in pediatric patients, it seems rational to offer hyperglycemic control and use of insulin when necessary. Clinical protocols of hyperglycemia control and use of insulin in these patients are required. KEY WORDS: SEPSIS, SHOCK SEPTIC, INSULIN, HYPERGLYCEMIA. |
publishDate |
2007 |
dc.date.none.fl_str_mv |
2007-03-16 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1624 |
url |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1624 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1624/1198 https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1624/7915 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
dc.source.none.fl_str_mv |
Scientia Medica; Vol. 16 No. 2 (2006) Scientia Medica; v. 16 n. 2 (2006) 1980-6108 1806-5562 reponame:Scientia Medica (Porto Alegre. Online) instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) instacron:PUC_RS |
instname_str |
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
instacron_str |
PUC_RS |
institution |
PUC_RS |
reponame_str |
Scientia Medica (Porto Alegre. Online) |
collection |
Scientia Medica (Porto Alegre. Online) |
repository.name.fl_str_mv |
Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
repository.mail.fl_str_mv |
scientiamedica@pucrs.br || editora.periodicos@pucrs.br |
_version_ |
1809101748455866368 |