Hypoglycemia and Cardiac Arrest in a Critically Ill Patient on Strict Glycemic Control.
From: Department of Anaesthesia and John V. Farman Intensive Care Unit, Addenbrooke’s Hospital, Hills Road, Cambridge, CB2 2QQ, United Kingdom.
Anesthesia and analgesia
- Publish Date: Feb 2006
- ISSN: 1526-7598
- Volume: 102
- Issue: 2
- Pages: 549-51
- Medium: Internet
- Language: English
- Citation (JAMA): Bhatia Anuj, Cadman Brit, Mackenzie Iain, et al. Hypoglycemia and Cardiac Arrest in a Critically Ill Patient on Strict Glycemic Control.. Anesth. Analg. Feb 2006;102:549-51
Abstract
Glycemic control in critically ill patients has become a subject of considerable interest since the publication of studies showing reduced morbidity and mortality in patients when blood glucose was maintained within a relatively low and narrow range (4.4 to 6.1 mM/L). We describe a patient who developed cardiac asystole while being given a concentrated glucose solution to treat severe hypoglycemia after administration of insulin. The mechanism in this patient appears to be hyperkalemia from the rapid administration of a concentrated glucose solution.
Mesh Headings (Keywords): Aged, Blood Glucose, Critical Care, Critical Illness, Female, Glucose, Heart Arrest, Humans, Hyperkalemia, Hypoglycemia, Infusions, Intravenous, Insulin
Check for Full Text / PubMed Unique Identifier (PMID): 16428559
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