Journal of critical care
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Journal of critical care · Aug 2022
Insulin therapy associated relative hypoglycemia during critical illness.
In critically ill diabetes patients, relative hypoglycemia (RH) (a decrease in glucose ≥30% below pre-admission levels, as estimated by HbA1c) is associated with greater mortality and absolute hypoglycemia. We investigated the epidemiology and outcomes of RH when it was associated with insulin therapy. ⋯ ITARH is common in insulin treated critically ill diabetes patients and associated with poorer glycemic control. Unlike reports of RH in general, it is not associated with mortality, suggesting that the prognostic implications of RH differ according to its context.
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Journal of critical care · Aug 2022
Systolic blood pressure measurements are unreliable for the management of acute spontaneous intracerebral hemorrhage.
Whether systolic blood pressure (SBP) is reliable in acute spontaneous intracerebral (sICH) by assessing agreement between simultaneous BP measurements obtained from cuff non-invasive blood pressure (NIBP) and radial arterial invasive blood pressure (AIBP) devices. ⋯ We concluded that SBP is an unreliable blood pressure measurement in patients with sICH.