Controle strict de a glycemie en soins intensifs: ou situer la limite ? [Tight glucose control in the ICU: how aggressive should we be?]

Details

Serval ID
serval:BIB_854837368080
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Controle strict de a glycemie en soins intensifs: ou situer la limite ? [Tight glucose control in the ICU: how aggressive should we be?]
Journal
Revue Médicale Suisse
Author(s)
Oddo  M., Chiolero  R.
ISSN
1660-9379 (Print)
Publication state
Published
Issued date
12/2006
Volume
2
Number
91
Pages
2840-4
Notes
English Abstract
Journal Article
Review --- Old month value: Dec 13
Abstract
The issue of tight glucose control in intensive care remains controversial. Compelling evidence supports the use of intensive insulin therapy in postoperative patients, particularly those who have undergone cardiac surgery. In contrast, this strategy has been challenged in other situations, including medical, septic, post-traumatic and brain-injured critically ill patients, due to the lack of effect on mortality and to the increased risk of hypoglycemia. These data suggest that the optimal target for blood glucose needs to be better defined in critical care practice and might depend on the underlying pathology. Therefore, while awaiting the results of multi-centric studies, including a large heterogeneous cohort, a less aggressive approach for glucose control is preferable in the majority of critically ill patients.
Keywords
Blood Glucose/*analysis Humans Hypoglycemic Agents/*therapeutic use Insulin/*therapeutic use Intensive Care/*methods Intensive Care Units Monitoring, Physiologic
Pubmed
Create date
24/01/2008 16:53
Last modification date
20/08/2019 14:44
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