Metabolic control in the critically ill patient an update: Hyperglycemia, glucose variability hypoglycemia and relative hypoglycemia

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• 作者：Á ; ngel Augusto Pé ; rez-Calatayud^a ; ^{gmemiinv@gmail.com} ; Ariadna Guillé ; n-Vidañ ; a^b ; Irving Santiago Fraire-Fé ; lix^c ; Eduardo Daniel Anica-Malagó ; n^a ; Jesú ; s Carlos Briones Garduñ ; o^a ; Raú ; l Carrillo-Esper^d
• 关键词：Hyperglycemia ; Glucose variability ; Hypoglycemia ; Glycemic control
• 刊名：Cirugía y Cirujanos (English Edition)
• 出版年：2017
• 出版时间：January-February 2017
• 年：2017
• 卷：85
• 期：1
• 页码：93-100
• 全文大小：758 K
• 卷排序：85

文摘

Metabolic changes of glucose in critically ill patients increase morbidity and mortality. The appropriate level of blood glucose has not been established so far and should be adjusted for different populations. However concepts such as glucose variability and relative hypoglycemia of critically ill patients are concepts that are changing management methods and achieving closer monitoring.ObjectivesThe purpose of this review is to present new data about the management and metabolic control of patients in critical areas.ConclusionsCurrently glucose can no longer be regarded as an innocent element in critical patients; both hyperglycemia and hypoglycemia increase morbidity and mortality of patients. Protocols and better instruments for continuous measurement are necessary to achieve the metabolic control of our patients.