Use of a flexible subcutaneous catheter improves comfort in patients with DKA compared to the usual treatment with a metal needle.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
20
Hospital General de Niños Pedro de Elizalde
Buenos Aires, Constitucion, Argentina
Comfort measured by a visual analogue scale for pain
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.
Time frame: between 10 to 14 hours
Associated complications
complications associated with the insulin administration device (local infection, extravasation)
Time frame: 24 hours
Metabolic stability according to lab determinations
Time to reach the metabolic stability defined by: glycemia ≤250 mg/dl, pH ≥ 7.3, bicarbonate ≥ 15 mmol/L);
Time frame: between 10 to 14 hours
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