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Docente estable de la
Carrera de Postgrado de Clínica Médica – UNR
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Tutor de Residentes de
Clínica Médica – Hospital Provincial del Centenario
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Coordinador de 1° módulo
anual de la Carrera de Postgrado de Clínica Médica – UNR
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Responsable de Centro
Formador de la Carrera de Postgrado de Clínica Médica – UNR
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Hiperglicemia en
pacientes críticos
Dr. Damián
Carlson
Bibliografía
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Van den Berghe G, Wouters P, Weekers F, et al.
Intensive insulin therapy in the surgical
intensive care unit. N Engl J Med.
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Coursin DB, Connery LE, Ketzler JT.
Perioperative diabetic and hyperglycemic
management issues. Crit Care Med. 2004 Apr;32(4
Suppl)
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Umpierrez, G.; Isaacs, S.; Bazargan, N.; et al.
Hyperglycemia: An Independent Marker of
In-Hospital Mortality in Patients with
Undiagnosed Diabetes The Journal of Clinical
Endocrinology & Metabolism Vol. 87, No. 3
978-982
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Krinsley JC. Association between hyperglycemia
and increase hospital mortality in a
heterogeneous population of critically ill
patients. Mayo Clin Proc. 2003;78:1471-1478
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Capas, S., Hunt, D., Malmberg, K., Gerstein, H.
Stress hyperglycemia and increased risk of death
after myocardial infarction in patients with and
without diabetes: a systematic overview. Lancet
2000; 355:773-778
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Capas, S., Hunt, D., Malmberg, K., et al Stress
hyperglycemia and prognosis of stroke in
nondiabetic and diabetic patients. A sistematic
overview Stroke 2001;32:2426-2432
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Yendamuri, S., Fulda, GJ., Tinkoff, GH.,
Admission hyperglycemia as a prognostic
indicator in trauma. J Trauma 2003; 55:33-38
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Furnary AP, Zerr KJ, Grunkemeier GL, Starr A.
Continuous intravenous insulin infusion reduces
the incidence of deep sternal wound infection in
diabetic patients after cardiac surgical
procedures. Ann Thorac Surg. 1999;67:352-362.
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Malmberg K. Prospective randomised study of
intensive insulin treatment on long term
survival after acute myocardial infarction in
patients with diabetes mellitus: DIGAMI
(Diabetes Mellitus, Insulin Glucose Infusion in
Acute Myocardial Infarction) Study Group. BMJ.
1997;314:1512-1515.
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Krinsley, JS., Effect of an intensive glucose
management on the mortality of critically ill
adult patients. Mayo Clin Proc 2004;
79(8):992-1000
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Van den Berghe G, Wilmer A, Hermans G, et al.
Intensive Insulin Therapy in the Medical ICU. N
Eng J Med 2006;354: 449-460
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Mizock, B., Alterations in carbohydrate
matabolism during stress: A review of the
literature. Am J of Med. 1995; 98: 75-84
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Weissman, C. Nutrition in the intensive care
unit. Critical Care 1999; 3:67-65
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Hotchkiss, RS., Kart IE. Reevaluation of the
role of cellular hipoxia and bioenergetic
failure in sepsis. JAMA. 1992;267:1503-1519
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Preiser, J., Devos, P., Van den Berghe, G. Tight
control of glycaemia in critically ill patients.
Curr Opin Clin Nutr Metab Care 2002 5:533-537.
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Rayfield EJ, Ault MJ, Keusch GT, et al.
Infection and diabetes: the case for glucose
control. Am J Med 1982; 72:439-450.
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Baird, T., Parsons, M., Phanh, T., et al.
Persistent Poststroke Hyperglycemia Is
Independently Associated With Infarct Expansion
and Worse Clinical Outcome. Stroke.
2003;34:2208-2214
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Bolk J, van der Ploeg T, Cornel JH, et al.
Impaired glucose metabolism predicts mortality
after a myocardial infarction. Int J Cardiol
2001; 79:207-214.
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Kagansky N, Levy S, Knobler H. The role of
hyperglycemia in acute stroke. Arch Neurol 2001;
58:1209-1212.
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Baird, T., Parsons,M.,Phanh, T., et al.
Persistent Poststroke Hyperglycemia Is
Independently Associated With Infarct Expansion
and Worse Clinical Outcome. Stroke
2003;34:2208-2214
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Demchuk AM, Morgenstern LB, Krieger DW, et al.
Serum glucose level and diabetes
predict tissue plasminogen activator–related
intracerebral hemorrhage in acute ischemic
stroke. Stroke. 1999;30:34 –39.
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Van den Berghe, G. How does blood glucose
control with insulin save lives in intensive
care? Clin. Invest. 2004; 114:1187–1195
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Scott JF, Robinson GM, French JM, O’Connell JE,
Alberti KG, Gray CS.
Glucose potassium insulin infusions in the
treatment of acute stroke patients with mild to
moderate hyperglycemia: the Glucose Insulin in
Stroke Trial (GIST). Stroke. 1999;30:793–799.
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Chinsky, K. The Evolving Paradigm of
Hyperglycemia and Critical Illness. Chest.
2004;126:674-676
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Pittas, A., Siegel, R., Lau, J. Insulin Therapy
for Critically Ill Hospitalized Patients
A Meta-analysis of Randomized Controlled Trials.
Arch Intern Med. 2004;164:2005-2011
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Van den Berghe, G, Wouters, R, Weekers, F, et al
Outcome benefit of intensive insulin therapy in
the critically ill: insulin dose versus glycemic
control. Crit Care Med 2003;31,359-366
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Mesotten, D., Swinnen, J., Vanderhoydonc, F.,
Wouters, P. Van den Berghe, G. Contribution of
Circulating Lipids to the Improved Outcome of
Critical Illness by Glycemic Control with
Intensive Insulin Therapy J Clin Endocrinol
Metab 89: 219–226, 2004
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Hansen, TK., Thiel, S., Wouters, P.,
Christiansen, J.,Van den Berghe G. Intensive
Insulin Therapy Exerts Antiinflammatory Effects
in Critically Ill Patients and Counteracts the
Adverse Effect of Low Mannose-Binding Lectin
Levels J Clin Endocrinol Metab 88:1082–1088,
2003
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Gao F., et al. Nitric oxide mediates the
antiapoptotic effect of insulin in myocardial
ischemia-reperfusion: the role of PI3-kinase,
Akt, and eNOS phosphorylation. Circulation. 2002
105:1497–1502.
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