Anaesthesia | Patient specific populations | Endocrine problems in the critically ill 1
Endocrine problems in the critically ill 1
Session Overview
Description
This session contains a link to the BJA Education article
The article will open in a new window/tab depending on your browser.
CPD credit can be claimed for the time spent reading the article.
Endocrine problems in the critically ill 1: diabetes and glycaemic control. Elizabeth Kerr, Deborah et al. BJA Education, Volume 17, Issue 11, 370-376
- Dysglycaemia occurs frequently in critical illness, both in diabetic and in non-diabetic patients, often reflecting underlying disease severity
- Aggressive insulin therapy may be harmful and is associated with an increased incidence of severe hypoglycaemia; therefore, a pragmatic approach to glycaemic control is necessary
- Hypoglycaemia is common, and the clinical features are frequently masked in critical illness
- Immediate insulin therapy is not indicated in the hyperosmolar hyperglycaemic state (HHS) and may precipitate cardiovascular collapse
- A mixed picture of diabetic ketoacidosis and HHS can occur; treatment should be directed at the predominant element
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