Clinical aspects of the treatment of uncomplicated hyperglycemia in the intensive care unit

Arias-Amaya, Adriana Milena; Castellanos-Bueno, Rafael; Rangel-Rivera, Diego Alejandro; Pinto-Arias, Andrea Juliana

doi:10.18273/revmed.v33n2-2020006

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Medicas UIS

Print version ISSN 0121-0319On-line version ISSN 1794-5240

Abstract

ARIAS-AMAYA, Adriana Milena; CASTELLANOS-BUENO, Rafael; RANGEL-RIVERA, Diego Alejandro and PINTO-ARIAS, Andrea Juliana. Clinical aspects of the treatment of uncomplicated hyperglycemia in the intensive care unit. Medicas UIS [online]. 2020, vol.33, n.2, pp.49-54. Epub Aug 30, 2020. ISSN 0121-0319. https://doi.org/10.18273/revmed.v33n2-2020006.

Introduction:

Glucose is a dynamic variable in the critically ill patient. Hyperglycemia (greater than 140 mg/dL) is frequent in this group of patients, and there are different therapeutic treatments for its adequate control.

Objectives:

To evaluate the clinical aspects of glycemia and the importance of glycemic control in the critically ill adult patient.

Methodology:

Search in Pubmed database using the MeSH terms: “critical illness”, “insulin infusion”, “insulin protocol”, “hyperglycemia”. Original and review articles are included, in English and Spanish.

Conclusions:

The management of hyperglycemia in the critically ill patient is a primary objective in the comprehensive approach of the patient in the intensive care unit due to its association with mortality, morbidity and hospital stay.MÉD.UIS.2020;33(2): 49-54.

Keywords : Glucose; Critical Care; Insulin; Infusions, Parenteral; Clinical Protocols.

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