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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
1   Department of Anaesthesia and Critical Care Medicine, Policlinico Umberto I Hospital, Sapienza University of Rome, Rome, Italy
,
Ega Qeva
1   Department of Anaesthesia and Critical Care Medicine, Policlinico Umberto I Hospital, Sapienza University of Rome, Rome, Italy
,
Anna Prete
1   Department of Anaesthesia and Critical Care Medicine, Policlinico Umberto I Hospital, Sapienza University of Rome, Rome, Italy
,
Francesco Pugliese
1   Department of Anaesthesia and Critical Care Medicine, Policlinico Umberto I Hospital, Sapienza University of Rome, Rome, Italy
› Author Affiliations Funding This review was accomplished with departmental funds.
Further Information

Publication History

Received: 02 February 2019

Accepted after revision: 09 April 2019

Publication Date:
07 June 2019 (online)

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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
 

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