Neonatology

Quality Improvement/Patient Safety

Endocrinology

Critical Care

PRO: Hypoglycemia in Critically Ill Children Should Make Everyone Break Out Into a Cold Sweat! CON: Hypoglycemia in Critically Ill Children – Much Ado About Nothing!

Chair(s)

• 

  Vijay Srinivasan, MBBS MD

  Attending Physician
  Anesthesiology and Critical Care Medicine
  Children's Hospital of Philadelphia
  Philadelphia, Pennsylvania, United States
• 

  Michael Agus, MD

  Division Chief
  Division of Medical Critical Care, Department of Pediatrics
  Boston Children's Hospital
  Boston, Massachusetts, United States

This pro-con debate will review the problem of hypoglycemia detection andmonitoring in critically ill children admitted to the pediatric intensive care unit with impact on neuro-cognition and other outcomes. There is not quite enough evidence for harm, but the data is mounting. While data from neonates is more convincing for harm from hypoglycemia, the evidence is not so clear in older critically ill children. Recent trials of tight glucose control in this population of critically ill children did not observe any convincing benefits from such a strategy, but all trials uniformly observed variable increase in hypoglycemia rates. More concerningly, many critically ill children may have hypoglycemia even in the absence of tight glucose control and detection is often difficult due to the inability to discern symptoms. However, it remains unclear if hypoglycemia is transient or sustained due to current intermittent sampling methods with implications for detection and impact on outcomes.

Presentations:

• 1:00 PM - 1:45 PM US CT

  PRO: Hypoglycemia in critically ill children should make everyone break out into a cold sweat!
  

  Presenter: Vijay Srinivasan, MBBS MD – Children's Hospital of Philadelphia
• 1:45 PM - 2:30 PM US CT

  CON: Hypoglycemia in critically ill children - much ado about nothing!
  

  Presenter: Michael Agus, MD – Boston Children's Hospital
• 2:30 PM - 3:30 PM US CT

  Break
  

  Presenter: Belinda Thomas
• 3:30 PM - 4:00 PM US CT

  Click for Live Q&A: PRO: Hypoglycemia in Critically Ill Children Should Make Everyone Break Out Into a Cold Sweat! CON: Hypoglycemia in Critically Ill Children – Much Ado About Nothing!
  

  Presenter: Belinda Thomas