Hyperglycemia and use of the insulin in critically ill child <b>[Abstract in English]</b>
Abstract
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.
Downloads
Downloads
Published
How to Cite
Issue
Section
License
Copyright
The submission of originals to Scientia Medica implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite Scientia Medica as the site of original publication.
Creative Commons License
Except where otherwise specified, material published in this journal is licensed under a Creative Commons Attribution 4.0 International license, which allows unrestricted use, distribution and reproduction in any medium, provided the original publication is correctly cited.