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Emergency Medicine Myths: Cerebral Edema in Pediatric Diabetic Ketoacidosis and Intravenous Fluids by Brit Long; Alex Koyfman is a Medicine article available to read on EtoBox.

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## Background: Pediatric diabetic ketoacidosis (dka) is a disease associated with several complications that can be severe. one complication includes cerebral edema (ce), and patients may experience significant morbidity with this disease. ## Objective: This review evaluates the myths concerning ce in pediatric dka including mechanism, presentation of edema, clinical assessment of dehydration, and association with intravenous (i.v.) fluids. ## Discussion: Multiple complications may occur in pediatric dka. ce occurs in < 1% of pediatric dka cases, though morbidity and mortality are severe without treatment. several myths surround this disease. subclinical ce is likely present in many patients with pediatric dka, though severe disease is rare. a multitude of mechanisms likely account for development of ce, including vasogenic and cytotoxic causes. clinical dehydration is difficult to assess. literature has evaluated the association of fluid infusion with the development of ce, but most studies are retrospective, with no comparator groups. the few studies with comparisons suggest fluid infusion is not associated with dka. rather, the severity of dka with higher blood urea nitrogen and

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Author

Brit Long; Alex Koyfman

Publisher

Elsevier BV

Published

2017

Language

EN

Field

Medicine (Health Sciences)