'De Hydration' assessment and replacement fluid therapy in diabetic ketoacidosis: Is there an answer?

Pediatric Critical Care Medicine

Volumn 13, Issue 2, 2012, Pages 240-241

  Singhi, Sunit ^a   Muralindharan, Jayashree ^a  

^a POSTGRADUATE INSTITUTE OF MEDICAL EDUCATION AND RESEARCH   (India)

Author keywords

children; dehydration; diabetic ketoacidosis; rehydration therapy

Indexed keywords

ELECTROLYTE; SODIUM; UREA;

BLOOD PRESSURE; BRAIN EDEMA; COMORBIDITY; DEHYDRATION; DIABETIC KETOACIDOSIS; DISEASE SEVERITY; EDITORIAL; FLUID THERAPY; GLOMERULUS FILTRATION; HEMODYNAMICS; HUMAN; HYPERGLYCEMIA; HYPEROSMOLARITY; HYPOVOLEMIA; OSMOLALITY; OSMOTIC DIURESIS; PRIORITY JOURNAL; SEPTIC SHOCK; SODIUM BLOOD LEVEL; UREA NITROGEN BLOOD LEVEL; WEIGHT GAIN; WEIGHT REDUCTION;

DEHYDRATION; DIABETES MELLITUS, TYPE 1; DIABETIC KETOACIDOSIS; FEMALE; HUMANS; MALE; PHYSICAL EXAMINATION; SEVERITY OF ILLNESS INDEX;

EID: 84858245851     PISSN: 15297535     EISSN: 19473893     Source Type: Journal    
DOI: 10.1097/PCC.0b013e31822882e9     Document Type: Editorial

References (15)

1. Kitabchi AE, Umprierrez GE, Murphy BM, et al: Management of hyperglycemic crises in patients with diabetes. Diabetes Care 2001; 24:131-153 (Pubitemid 32106687)
2. Edge JA, Ford-Adams ME, Dunger DB: Cause of death in children with insulin dependent diabetes 1990-96. Arch Dis Child 1999; 81:318-323 (Pubitemid 29467769)
3. Carlotti AP, Bohn D, Halperin ML: Importance of timing of risk factors for cerebral oedema during therapy for diabetic acidosis. Arch Dis Child 2003; 88:170-173 (Pubitemid 36160654)
4. Rosenbloom AL: Diabetic ketoacidosis treatment guidelines. Clin Pediatr 1996; 35:261-266
5. Wolfsdorf J, Glaser N, Sperling M: Diabetic ketoacidosis in infants, children, and adolescents: A consensus statement from the American Diabetes Association. Diabetes Care 2006; 29:1150-1159 (Pubitemid 44115263)
6. Fagan MJ, Avnver J, Khine H: Initial fluid resuscitation for patients with diabetic keto-acidosis: How dry are they? Clin Pediatrics 2008; 47:851-855
7. Smith L, Rotta AT: Accuracy of clinical estimates of dehydration in pediatric patients with diabetic ketoacidosis. Pediatr Emerg Care 2002; 18:395-396
8. Koves IH, Neutze J, Donath S, et al: The accuracy of clinical assessment of dehydration during diabetic ketoacidosis in childhood. Diabetes Care 2004; 27:2485-2487 (Pubitemid 39281405)
9. Ugale J, Mata A, Meert KL, et al: Measured degree of dehydration in children and adolescents with type 1 diabetic ketoacidosis. Pediatr Crit Care Med 2012; 13:e103-e107
10. Mackenzie A, Barnes G, Shann F: Clinical signs of dehydration in children. Lancet 1989; 2:605-607 (Pubitemid 19216217)
11. Glaser N: Pediatric diabetic ketoacidosis and hyperglycemic hyperosmolar state. Pediatr Clin North Am 2005; 52:1611-1635
12. Durr JA, Hoffman WH, Sklar AH, et al: Correlates of brain edema in uncontrolled IDDM. Diabetes 1992; 41:627-632
13. Edge J, Jakes R, Roy Y, et al: The UK case- control study of cerebral oedema complicating diabetic ketoacidosis in children. Diabetologia 2006; 49:2002-2009 (Pubitemid 44168465)
14. Glaser N, Barnett P, McCaslin I, et al: Risk factors for cerebral edema in children with diabetic ketoacidosis; Pediatric Emergency Medicine Collaborative Research Committee of the American Academy of Pediatrics. N Engl J Med 2001; 344:264-269
15. Tiwari LK, Jayashree M, Singhi S: Risk factors for cerebral edema in diabetic ketoacidosis in a developing country: Role of sepsis and fluid refractory shock. Pediatr Crit Care Med 2012; 13:e91-e96