Critical illness-induced dysglycaemia: diabetes and beyond.

Abstract:

:Type 2 diabetes has reached epidemic proportions in many parts of the world. The disease is projected to continue to increase and double within the foreseeable future. Dysglycaemia develops in the form of hyperglycaemia, hypoglycaemia and marked glucose variability in critically ill adults whether they are known to have premorbid diabetes or not. Patients with such glucose dysregulation have increased morbidity and mortality. Whether this is secondary to cause and effect from dysglycaemia or is just related to critical illness remains under intense investigation. Identification of intensive care unit (ICU) patients with unrecognised diabetes remains a challenge. Further, there are few data regarding the development of type 2 diabetes in survivors after hospital discharge. This commentary introduces the concept of critical illness-induced dysglycaemia as an umbrella term that includes the spectrum of abnormal glucose homeostasis in the ICU. We outline the need for further studies in the area of glucose regulation and for follow-up of the natural history of abnormal glucose control during ICU admission and beyond.

journal_name

Crit Care

authors

Smith FG,Sheehy AM,Vincent JL,Coursin DB

doi

10.1186/cc9266

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

327

issue

6

eissn

1364-8535

issn

1466-609X

pii

cc9266

journal_volume

14

pub_type

杂志文章,评审
  • Angiopoietin-2 is increased in sepsis and inversely associated with nitric oxide-dependent microvascular reactivity.

    abstract:INTRODUCTION:Angiopoietin-2 (ang-2), an angiogenic peptide released by endothelial cell Weibel-Palade bodies (WPBs), increases endothelial activation and vascular permeability. Ang-2 is raised in severe sepsis but the mechanisms underlying this are not known. Nitric oxide (NO) inhibits WPB exocytosis, and bioavailabili...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc9020

    authors: Davis JS,Yeo TW,Piera KA,Woodberry T,Celermajer DS,Stephens DP,Anstey NM

    更新日期:2010-01-01 00:00:00

  • (1,3)-β-D-Glucan-based empirical antifungal interruption in suspected invasive candidiasis: a randomized trial.

    abstract:BACKGROUND:(1,3)-β-D-Glucan has been widely used in clinical practice for the diagnosis of invasive Candida infections. However, such serum biomarker showed potential to guide antimicrobial therapy in order to reduce the duration of empirical antifungal treatment in critically ill septic patients with suspected invasiv...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-020-03265-y

    authors: De Pascale G,Posteraro B,D'Arrigo S,Spinazzola G,Gaspari R,Bello G,Montini LM,Cutuli SL,Grieco DL,Di Gravio V,De Angelis G,Torelli R,De Carolis E,Tumbarello M,Sanguinetti M,Antonelli M

    更新日期:2020-09-05 00:00:00

  • Impact of timing of renal replacement therapy initiation on outcome of septic acute kidney injury.

    abstract:INTRODUCTION:Sepsis is the leading cause of acute kidney injury (AKI) in critical patients. The optimal timing of initiating renal replacement therapy (RRT) in septic AKI patients remains controversial. The objective of this study is to determine the impact of early or late initiation of RRT, as defined using the simpl...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc10252

    authors: Chou YH,Huang TM,Wu VC,Wang CY,Shiao CC,Lai CF,Tsai HB,Chao CT,Young GH,Wang WJ,Kao TW,Lin SL,Han YY,Chou A,Lin TH,Yang YW,Chen YM,Tsai PR,Lin YF,Huang JW,Chiang WC,Chou NK,Ko WJ,Wu KD,Tsai TJ,NSARF Stud

    更新日期:2011-01-01 00:00:00

  • Mechanical ventilation in rural ICUs.

    abstract::BACKGROUND: In recent years, rural hospitals have expanded their scope of specialized services, which has led to the development and staffing of rural intensive care units (ICUs). There is little information about the breadth, quality or outcomes of these services. This is particularly true for specialized ICU service...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc303

    authors: Fieselmann JF,Bock MJ,Hendryx MS,Wakefield D,Helms CM,Bentler SE

    更新日期:1999-01-01 00:00:00

  • Daily urinary urea excretion to guide intermittent hemodialysis weaning in critically ill patients.

    abstract:BACKGROUND:There are no easily available markers of renal recovery to guide intermittent hemodialysis (IHD) weaning. The aim of this study was to identify markers for IHD weaning in critically ill patients with acute kidney injury (AKI). METHODS:We performed a retrospective single-center cohort study of patients treat...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-016-1225-5

    authors: Aniort J,Ait Hssain A,Pereira B,Coupez E,Pioche PA,Leroy C,Heng AE,Souweine B,Lautrette A

    更新日期:2016-02-19 00:00:00

  • Bench-to-bedside review: Beta-adrenergic modulation in sepsis.

    abstract::Sepsis, despite recent therapeutic progress, still carries unacceptably high mortality rates. The adrenergic system, a key modulator of organ function and cardiovascular homeostasis, could be an interesting new therapeutic target for septic shock. Beta-adrenergic regulation of the immune function in sepsis is complex ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/cc8026

    authors: de Montmollin E,Aboab J,Mansart A,Annane D

    更新日期:2009-01-01 00:00:00

  • Searching for an ideal hemodynamic marker to predict short-term outcome in cardiogenic shock.

    abstract::Cardiogenic shock is a lethal condition. Physicians are searching for hemodynamic markers which could help risk-stratification of patients in this picture. Torgersen and coworkers present an hourly time integral of the cardiac power index and cardiac index drops to predict outcomes in the setting of cardiogenic shock....

    journal_title:Critical care (London, England)

    pub_type: 评论,杂志文章

    doi:10.1186/cc8176

    authors: Yilmaz MB,Mebazaa A

    更新日期:2009-01-01 00:00:00

  • Intra-abdominal hypertension in patients with severe acute pancreatitis.

    abstract:INTRODUCTION:Abdominal compartment syndrome has been described in patients with severe acute pancreatitis, but its clinical impact remains unclear. We therefore studied patient factors associated with the development of intra-abdominal hypertension (IAH), the incidence of organ failure associated with IAH, and the effe...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc3754

    authors: De Waele JJ,Hoste E,Blot SI,Decruyenaere J,Colardyn F

    更新日期:2005-08-01 00:00:00

  • Enteral nutrition with eicosapentaenoic acid, γ-linolenic acid and antioxidants in the early treatment of sepsis: results from a multicenter, prospective, randomized, double-blinded, controlled study: the INTERSEPT study.

    abstract:INTRODUCTION:Enteral nutrition (EN) with eicosapentaenoic acid (EPA)/γ-linolenic acid (GLA) is recommended for mechanically ventilated patients with severe lung injury. EPA/GLA has anti-inflammatory benefits, as evidenced by its association with reduction in pulmonary inflammation, improvement in oxygenation and improv...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/cc10267

    authors: Pontes-Arruda A,Martins LF,de Lima SM,Isola AM,Toledo D,Rezende E,Maia M,Magnan GB,Investigating Nutritional Therapy with EPA, GLA and Antioxidants Role in Sepsis Treatment (INTERSEPT) Study Group.

    更新日期:2011-06-09 00:00:00

  • Feasibility of optical coherence tomography angiography to assess changes in retinal microcirculation in ovine haemorrhagic shock.

    abstract:BACKGROUND:This study aimed to investigate the feasibility of optical coherence tomography angiography (OCT-A) for quantitative analysis of flow density to assess changes in retinal perfusion in an experimental model of haemorrhagic shock. METHODS:Haemorrhagic shock was induced in five healthy, anaesthetized sheep by ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-018-2056-3

    authors: Alnawaiseh M,Ertmer C,Seidel L,Arnemann PH,Lahme L,Kampmeier TG,Rehberg SW,Heiduschka P,Eter N,Hessler M

    更新日期:2018-05-29 00:00:00

  • Bench-to-bedside review: the initial hemodynamic resuscitation of the septic patient according to Surviving Sepsis Campaign guidelines--does one size fit all?

    abstract::The Surviving Sepsis Campaign guidelines for the management of severe sepsis and septic shock recommend that the initial hemodynamic resuscitation be done according to the protocol used by Rivers and colleagues in their well-known early goal-directed therapy (EGDT) study. However, it may well be that their patients we...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/cc6979

    authors: Perel A

    更新日期:2008-01-01 00:00:00

  • Urinary output and fractional excretion of sodium and urea as indicators of transient versus intrinsic acute kidney injury during early sepsis.

    abstract:INTRODUCTION:The pathophysiology of acute kidney injury (AKI) in sepsis is ill defined. We investigated parameters associated with low glomerular filtration, and their predictive value to discriminate transient from intrinsic septic AKI. METHODS:In 107 sepsis patients, AKI was defined by the Risk, Injury, Failure, Los...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc13057

    authors: Vanmassenhove J,Glorieux G,Hoste E,Dhondt A,Vanholder R,Van Biesen W

    更新日期:2013-10-13 00:00:00

  • High mixed venous oxygen saturation levels do not exclude fluid responsiveness in critically ill septic patients.

    abstract:INTRODUCTION:The aim of this study was to determine whether the degree of fluid responsiveness in critically ill septic patients is related to baseline mixed venous oxygen saturation (SvO2) levels. We also sought to define whether fluid responsiveness would be less likely in the presence of a high SvO2 (>70%). METHODS...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc10326

    authors: Velissaris D,Pierrakos C,Scolletta S,De Backer D,Vincent JL

    更新日期:2011-07-26 00:00:00

  • The effect of open lung ventilation on right ventricular and left ventricular function in lung-lavaged pigs.

    abstract:INTRODUCTION:Ventilation according to the open lung concept (OLC) consists of recruitment maneuvers, followed by low tidal volume and high positive end-expiratory pressure, aiming at minimizing atelectasis. The minimization of atelectasis reduces the right ventricular (RV) afterload, but the increased intrathoracic pre...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc4944

    authors: Miranda DR,Klompe L,Cademartiri F,Haitsma JJ,Palumbo A,Takkenberg JJ,Lachmann B,Bogers AJ,Gommers D

    更新日期:2006-01-01 00:00:00

  • Neurological manifestations of COVID-19: a systematic review.

    abstract:INTRODUCTION:Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is responsible for the global spread of coronavirus disease (COVID-19). Our understanding of the impact this virus has on the nervous system is limited. Our review aims to inform and improve decision-making among the physicians treating COVID-19 ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-020-03121-z

    authors: Nepal G,Rehrig JH,Shrestha GS,Shing YK,Yadav JK,Ojha R,Pokhrel G,Tu ZL,Huang DY

    更新日期:2020-07-13 00:00:00

  • Myocardial Doppler velocities as a marker of prognosis in the ICU.

    abstract::Relatively simple measures of echocardiography and Doppler, as left ventricular end-systolic area and volume, should be taken in consideration when performing a Doppler echocardiographic examination, as they could have both clinical and prognostic value. ...

    journal_title:Critical care (London, England)

    pub_type: 评论,社论

    doi:10.1186/cc6129

    authors: Poelaert J,Roosens C

    更新日期:2007-01-01 00:00:00

  • Improved outcomes from the administration of progesterone for patients with acute severe traumatic brain injury: a randomized controlled trial.

    abstract:BACKGROUND:Severe traumatic brain injury (TBI) has been increasing with greater incidence of injuries from traffic or sporting accidents. Although there are a number of animal models of TBI using progesterone for head injury, the effects of progesterone on neurologic outcome of acute TBI patients remain unclear. The ai...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/cc6887

    authors: Xiao G,Wei J,Yan W,Wang W,Lu Z

    更新日期:2008-01-01 00:00:00

  • Point accuracy and reliability of an interstitial continuous glucose-monitoring device in critically ill patients: a prospective study.

    abstract:INTRODUCTION:There is a need for continuous glucose monitoring in critically ill patients. The objective of this trial was to determine the point accuracy and reliability of a device designed for continuous monitoring of interstitial glucose levels in intensive care unit patients. METHODS:We evaluated point accuracy b...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-015-0757-4

    authors: van Hooijdonk RT,Leopold JH,Winters T,Binnekade JM,Juffermans NP,Horn J,Fischer JC,van Dongen-Lases EC,Schultz MJ

    更新日期:2015-02-05 00:00:00

  • Procalcitonin as a marker of bacterial infection in the emergency department: an observational study.

    abstract:INTRODUCTION:Procalcitonin (PCT) has been proposed as a marker of infection in critically ill patients; its level is related to the severity of infection. We evaluated the value of PCT as a marker of bacterial infection for emergency department patients. METHODS:This prospective observational study consecutively enrol...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc2396

    authors: Chan YL,Tseng CP,Tsay PK,Chang SS,Chiu TF,Chen JC

    更新日期:2004-02-01 00:00:00

  • Inhibition of caspase-1 activation in Gram-negative sepsis and experimental endotoxemia.

    abstract:INTRODUCTION:Down-regulation of ex-vivo cytokine production is a specific feature in patients with sepsis. Cytokine downregulation was studied focusing on caspase-1 activation and conversion of pro-interleukin-1β into interleukin-1β (IL-1β). METHODS:Peripheral blood mononuclear cells were isolated from a) 92 patients ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc9974

    authors: Giamarellos-Bourboulis EJ,van de Veerdonk FL,Mouktaroudi M,Raftogiannis M,Antonopoulou A,Joosten LA,Pickkers P,Savva A,Georgitsi M,van der Meer JW,Netea MG

    更新日期:2011-01-01 00:00:00

  • The combination of procalcitonin and C-reactive protein or presepsin alone improves the accuracy of diagnosis of neonatal sepsis: a meta-analysis and systematic review.

    abstract:BACKGROUND:Sepsis is an important cause of neonatal morbidity and mortality; therefore, the early diagnosis of neonatal sepsis is essential. METHOD:Our aim was to compare the diagnostic accuracy of procalcitonin (PCT), C-reactive protein (CRP), procalcitonin combined with C-reactive protein (PCT + CRP) and presepsin i...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,meta分析

    doi:10.1186/s13054-018-2236-1

    authors: Ruan L,Chen GY,Liu Z,Zhao Y,Xu GY,Li SF,Li CN,Chen LS,Tao Z

    更新日期:2018-11-21 00:00:00

  • Pre-existing atrial fibrillation and risk of arterial thromboembolism and death in intensive care unit patients: a population-based cohort study.

    abstract:INTRODUCTION:Pre-existing atrial fibrillation (AF) may worsen prognosis in patients admitted to the intensive care unit (ICU). METHODS:In a cohort study (2005-2011) including all patients with first-time ICU admissions in Denmark (n=57,110), we compared patients with and without pre-existing AF and estimated absolute ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-015-1007-5

    authors: Gamst J,Christiansen CF,Rasmussen BS,Rasmussen LH,Thomsen RW

    更新日期:2015-08-19 00:00:00

  • Bench-to-bedside review: Cytopathic hypoxia.

    abstract::The rate of oxygen consumption by certain tissues is impaired when mice or rats are injected with lipopolysaccharide. A similar change in the rate of oxygen consumption is observed when Caco-2 human enterocyte-like cells are incubated in vitro with cytomix, a cocktail of cytokines containing tumor necrosis factor, IL-...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/cc1824

    authors: Fink MP

    更新日期:2002-12-01 00:00:00

  • Prediction of fluid challenge effect: filling pressure when left ventricular function is abnormal, diastolic volume when left ventricular function is normal.

    abstract::Fluid resuscitation is a cornerstone of intensive care unit patient care, but prediction of the cardiovascular response remains difficult, despite many efforts in clinical research. The concept of responders and nonresponders illustrates such a difficulty. Many techniques have been tested, from strictly non-invasive t...

    journal_title:Critical care (London, England)

    pub_type: 评论,杂志文章

    doi:10.1186/cc10067

    authors: Payen D

    更新日期:2011-01-01 00:00:00

  • Serum procalcitonin measurement as diagnostic and prognostic marker in febrile adult patients presenting to the emergency department.

    abstract:INTRODUCTION:Identification of bacterial infections is crucial if treatment is to be initiated early and antibiotics used rationally. The primary objective of this study was to test the efficiency of procalcitonin (PCT) in identifying bacterial/parasitic episodes among febrile adult patients presenting to an emergency ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc5926

    authors: Hausfater P,Juillien G,Madonna-Py B,Haroche J,Bernard M,Riou B

    更新日期:2007-01-01 00:00:00

  • In-hospital airway management of COVID-19 patients.

    abstract::Those involved in the airway management of COVID-19 patients are particularly at risk. Here, we describe a practical, stepwise protocol for safe in-hospital airway management in patients with suspected or confirmed COVID-19 infection. ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/s13054-020-03018-x

    authors: Sullivan EH,Gibson LE,Berra L,Chang MG,Bittner EA

    更新日期:2020-06-05 00:00:00

  • Delirium prediction in the intensive care unit: comparison of two delirium prediction models.

    abstract:BACKGROUND:Accurate prediction of delirium in the intensive care unit (ICU) may facilitate efficient use of early preventive strategies and stratification of ICU patients by delirium risk in clinical research, but the optimal delirium prediction model to use is unclear. We compared the predictive performance and user c...

    journal_title:Critical care (London, England)

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1186/s13054-018-2037-6

    authors: Wassenaar A,Schoonhoven L,Devlin JW,van Haren FMP,Slooter AJC,Jorens PG,van der Jagt M,Simons KS,Egerod I,Burry LD,Beishuizen A,Matos J,Donders ART,Pickkers P,van den Boogaard M

    更新日期:2018-05-05 00:00:00

  • Effect of bladder volume on measured intravesical pressure: a prospective cohort study.

    abstract:INTRODUCTION:Correct bedside measurement of intra-abdominal pressure (IAP) is important. The bladder method is considered as the gold standard for indirect IAP measurement, but the instillation volumes reported in the literature vary substantially. The aim of this study was to evaluate the effect of instillation volume...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc4962

    authors: Malbrain ML,Deeren DH

    更新日期:2006-01-01 00:00:00

  • A3 adenosine receptors and mitogen-activated protein kinases in lung injury following in vivo reperfusion.

    abstract:INTRODUCTION:Although activation of A3 adenosine receptors attenuates reperfusion lung injury and associated apoptosis, the signaling pathway that mediates this protection remains unclear. Adenosine agonists activate mitogen-activated protein kinases, and these kinases have been implicated in ischemia/reperfusion injur...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc4893

    authors: Matot I,Weiniger CF,Zeira E,Galun E,Joshi BV,Jacobson KA

    更新日期:2006-01-01 00:00:00

  • Considerations for initial therapy in the treatment of acute heart failure.

    abstract::The diagnosis of patients presenting to the emergency department with acute heart failure (AHF) is challenging due to the similarity of AHF symptoms to other conditions such as chronic obstructive pulmonary disease and pneumonia. Additionally, because AHF is most common in an older population, the presentation of coex...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/s13054-015-1114-3

    authors: Peacock WF,Cannon CM,Singer AJ,Hiestand BC

    更新日期:2015-11-10 00:00:00