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

Détails

ID Serval
serval:BIB_854837368080
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Controle strict de a glycemie en soins intensifs: ou situer la limite ? [Tight glucose control in the ICU: how aggressive should we be?]
Périodique
Revue Médicale Suisse
Auteur(s)
Oddo  M., Chiolero  R.
ISSN
1660-9379 (Print)
Statut éditorial
Publié
Date de publication
12/2006
Volume
2
Numéro
91
Pages
2840-4
Notes
English Abstract
Journal Article
Review --- Old month value: Dec 13
Résumé
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.
Mots-clé
Blood Glucose/*analysis Humans Hypoglycemic Agents/*therapeutic use Insulin/*therapeutic use Intensive Care/*methods Intensive Care Units Monitoring, Physiologic
Pubmed
Création de la notice
24/01/2008 17:53
Dernière modification de la notice
03/03/2018 18:56
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