Clinical Relevance of Blood Glucose Concentration and Hyperglycemia Management in Neurocritical Care Patients

Federico Bilotta; Ega Qeva; Anna Prete; Francesco Pugliese

doi:10.1055/s-0039-1689069

Journal of Neuroanaesthesiology and Critical Care, Table of Contents

CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2019; 06(02): 087-095
DOI: 10.1055/s-0039-1689069

Review Article

Indian Society of Neuroanaesthesiology and Critical Care

Clinical Relevance of Blood Glucose Concentration and Hyperglycemia Management in Neurocritical Care Patients

Federico Bilotta

¹Department of Anaesthesia and Critical Care Medicine, Policlinico Umberto I Hospital, Sapienza University of Rome, Rome, Italy

,

Ega Qeva

¹Department of Anaesthesia and Critical Care Medicine, Policlinico Umberto I Hospital, Sapienza University of Rome, Rome, Italy

,

Anna Prete

¹Department of Anaesthesia and Critical Care Medicine, Policlinico Umberto I Hospital, Sapienza University of Rome, Rome, Italy

,

Francesco Pugliese

¹Department of Anaesthesia and Critical Care Medicine, Policlinico Umberto I Hospital, Sapienza University of Rome, Rome, Italy

› Author Affiliations

Abstract

In patients admitted to a neurocritical care (NCC) unit, management of blood glucose concentration (BGC) is a challenging clinical task. Several studies have shown that episodes of hypo- and hyperglycemia and high BGC variability are associated with poor short- and long-term outcomes. Optimal BGC target-range and BGC management in NCC patients have dramatically evolved in the past decades and new insulin infusion and adequate nutrition protocols are now available. The aim of this narrative review is to report the state-of-the-art on clinical relevance on BGC and hyperglycemia management in NCC patients.

Keywords

acute brain injury - blood glucose concentration - insulin infusion therapy - neurocritical care

Full Text

References

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