Risk factors for hypoglycemia in patients using continuous infusion of insulin in intensive care
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Abstract
This work is a descriptive review on risk factors for hypoglycemia in patients with continuous insulin infusion in intensive care unit. Publications from 2006 to 2012 were searched in books and articles of indexed databases from virtual libraries. Eight publications were selected and sorted into categories that addressed hypoglycemia, nutritional therapy, and glycemic protocols associated with intravenous insulin therapy. It is concluded that there are common risk factors for the multidisciplinary team and the knowledge of these factors will allow patient safety for using this therapy.
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Sociedade Brasileira de Diabetes. Controle da hiperglicemia intrahospitalar em pacientes críticos e não críticos. Posicionamento Oficial SBD nº 02/2011. Disponível em: http://www.nutritotal.com.br/diretrizes/files/228-- posicionamento_sbd_hiperglicemia.pdf. Acesso em: 20 jan. 2013.
Pasquel FJ, Umpierrez GE. Manejo de la hiperglucemia en el paciente hospitalizado. Medicina (B. Aires). 2011;7(3):275-83.
Lazzari CM, Volkart T. Eficiência da solução de insulina: comparação entre diferentes tempos de manutenção da solução. Rev Bras Ter Intensiva. 2010;22(4):358-62. http://dx.doi.org/10.1590/S0103-507X2010000400008
Brunner LS, Suddarth DS. Tratado de Enfermagem Médico Cirúrgico. In: Brunner LS. Histórico e Cuidados aos Pacientes com Diabetes Melito. 10 ed. Rio de Janeiro: Guanabara Koogan; 2009. 1192 p.
Van den Berghe G, Wilmer A, Hermans G, Meersseman W, Wouters PJ, Milants I, et al. Intensive insulin therapy in the medical ICU. N Engl J Med. 2006;354(5):449-61. http://dx.doi.org/10.1056/NEJMoa052521
Faust AC, Attridge RL, Ryan L. How low should you go? The limbo of glycemic control in intensive care units. Crit Care Nurse. 2011;31(4):e9-18. http://dx.doi.org/10.4037/ccn2011188
Lacherade JC, Jacqueminet S, Preiser JC. An overview of hypoglycemia in the critically ill. J Diabetes Sci Technol. 2009;3(6):1242-9. http://dx.doi.org/10.1177/193229680900300603
Egi M, Bellomo R, Stachowski E, French CJ, Hart GK, Taori G, et al. Hypoglycemia and outcome in critically ill patients. Mayo Clin Proc. 2010;85(3):217-24. http://dx.doi.org/10.4065/mcp.2009.0394
Egi M, Bellomo R, Stachawski E, French CJ, Hart G, Stow P, et al. Intensive insulin therapy in postoperative intensive care unit patients: a decision analysis. Am J Respir Crit Care Med. 2006;173(4):407-13. http://dx.doi.org/10.1164/rccm.200506-9610C
Associação de Medicina Intensiva Brasileira. Sociedade Brasileira de Infectologia. Instituto Latino Americano de Sepse. Sepse: Controle Glicêmico. In: Associação Médica Brasileira e Agência Nacional de Saúde Suplementar. Diretrizes Clínicas na Saúde Suplementar. AMBANS; 2011. Disponível em: http://www.projetodiretrizes.org.br/ans/diretrizes/sepse-controle_glicemico.pdf. Acesso em: 20 jan. 2013.
NICE-SUGAR Study Investigators, Finfer S, Chittock DR, Su SY, Blair D, Foster D, et al. Intensive versus conventional glucose control in critically ill patients. N Engl J Med. 2009;360(1):1283-97. http://dx.doi.org/10.1056/NEJMoa0810625
Gunst J, van den Berghe G. Blood glucose control in the intensive care unit: benefits and risks. Semin Dial. 2010;23(2):157-62. http://dx.doi.org/10.1111/j.1525-139X.2010.00702.x
Ferreira IKC. Terapia nutricional em Unidade de Terapia Intensiva. Rev Bras Ter Intensiva. 2007;19(1):90-7. http://dx.doi.org/10.1590/S0103-507X2007000100012
Ellahham S. Insulin therapy in critically ill patients. Vasc Health Risk Manag. 2010;6:1089-101.
http://dx.doi.org/10.2147/VHRM.S14203
Vogelzang M, Loef BG, Regtien JG, van der Horst IC, van Assen H, Zijlstra F, et al. Computer-assisted glucose control in critically ill patients. Intensive Care Med. 2008;34(8):1421-7. http://dx.doi.org/10.1007/s00134-008-1091-y
Malesker MA, Foral PA, McPhillips AC, Christensen KJ, Chang JA, Hilleman DE. An efficiency evaluation of protocols for tight control in intensive care units. Am J Crit Care. 2007;16(6):589-98.
Silva GG, Diabete x UTI. Monografia (Curso de Especialização) – Associação de Medicina Intensiva Brasileira, Cuiabá; 2011. Disponível em: http://www.redentor.inf.br/arquivos/pos/publicacoes/13082012MONOGRAFIA%20DIABETE%20x%20UTI. pdf. Acesso em: 10 dez. 2012.
Argollo APB, Faustino TN, Faustino TN, Pedreira LC. Valores glicêmicos oferecidos pelo glicosímetro portátil, utilizando sangue de diferentes vias de coletas: estudo de validade. Rev Bras Ter Intensiva. 2010;22(4):351-7. http://dx.doi.org/10.1590/S0103-507X2010000400007