Diabetic Ketoacidosis
Conditions
Brief summary
Use of a flexible subcutaneous catheter improves comfort in patients with DKA compared to the usual treatment with a metal needle.
Detailed description
Assess whether the use of a flexible subcutaneous catheter improves comfort in patients with DKA compared to the usual treatment with a metal needle. Compare the metabolic evolution of patients with DKA using a flexible subcutaneous catheter for insulin administration vs. a metal needle.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients aged 5 to 18 years, admitted with diagnoses of DKA. DKA is defined when patients meets all the following biochemical baseline criteria (before initial hydration): * Glucose\> 200 mg / dl * pH \< 7.3 * Bicarbonate \< 15mmol/l.
Exclusion criteria
* Patients referred from another institution with a different treatment, and those who requires intensive care on admission.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comfort measured by a visual analogue scale for pain | between 10 to 14 hours | Comfort measured by a visual analogue scale for pain (10cm = 0 meaning no pain and 10 meaning maximum pain) shown hourly after insulin administration until metabolic stability is achieved. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Associated complications | 24 hours | complications associated with the insulin administration device (local infection, extravasation) |
| Metabolic stability according to lab determinations | between 10 to 14 hours | Time to reach the metabolic stability defined by: glycemia ≤250 mg/dl, pH ≥ 7.3, bicarbonate ≥ 15 mmol/L); |
Countries
Argentina