Intensive insulin therapy in the ICU: the use of computer algorithms.
Elevated blood glucose levels are common in critically ill patients regardless of previous history of diabetes mellitus. Recent studies have shown that tight glucose control by intensive intravenous insulin therapy can markedly reduce the mortality and the occurrence of complications in most of the...
| Publicado en: | British Journal of Intensive Care Vol. 18; no. 4; pp. 129 - 135 |
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| Autores principales: | , , |
| Formato: | equations & formulas Journal Article |
| Publicado: |
Greycoat Publishing Ltd.
2008 Winter
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105386846&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105386846 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09617930 635J jtl: British Journal of Intensive Care issn: 09617930 maglogo: N pubinfo: dt: 2008 Winter vid: 18 iid: 4 pid: 43084 pub: Greycoat Publishing Ltd. artinfo: ui: 105386846 105386846 2010349081 105386846 ppf: 129 ppct: 6 formats: tig: atl: Intensive insulin therapy in the ICU: the use of computer algorithms. aug: au: Mraz M Kopecky P Haluzik M sug: subj: Algorithms Insulin Administration and Dosage Intensive Care Units Therapy, Computer Assisted Blood Glucose Critically Ill Patients Glycemic Control Infusions, Intravenous Protocols Tennessee ab: Elevated blood glucose levels are common in critically ill patients regardless of previous history of diabetes mellitus. Recent studies have shown that tight glucose control by intensive intravenous insulin therapy can markedly reduce the mortality and the occurrence of complications in most of the patient groups. On the other hand, tight glucose control is more labour intensive than traditional approaches and it also significantly increases the occurrence of hypoglycaemia. Clear and easy-to-use algorithms for insulin administration represent a necessary prerequisite for a successful implementation of tight glucose control in standard clinical practice. Computer-based glucose control algorithms appear to carry additional advantages compared to traditional paper-based protocols owing to their ability to adapt to changes in carbohydrate input and insulin resistance resulting in a lower occurrence of human errors and hypoglycaemia. The aim of this review is to summarise currently available algorithms for glucose control in critically ill patients with special attention to computer-based algorithms. pubtype: Academic Journal doctype: equations & formulas Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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