J Pediatr Intensive Care 2016; 05(04): 198-204
DOI: 10.1055/s-0036-1583281
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Tight Glycemic Control in the Pediatric Intensive Care Unit

Carmen L. Soto-Rivera
1   Divisions of Endocrinology and Medicine Critical Care, Department of Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, United States
,
Michael S. D. Agus
1   Divisions of Endocrinology and Medicine Critical Care, Department of Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, United States
› Author Affiliations
Further Information

Publication History

19 October 2015

24 November 2015

Publication Date:
11 May 2016 (online)

Abstract

Hyperglycemia is a common complication in critically ill, nondiabetic children. Four large pediatric randomized controlled trials of tight glycemic control (TGC) have been conducted to date with contradicting results. This review will highlight the design and outcomes of these trials and other relevant studies to provide an overview of the advantages and disadvantages of TGC for different populations at risk of hyperglycemia along with future directions for research.

 
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