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01-09-2016 | What's New in Intensive Care

Blood glucose control in the ICU: don’t throw out the baby with the bathwater!

Authors: Jan Gunst, Greet Van den Berghe

Published in: Intensive Care Medicine | Issue 9/2016

Excerpt

In this issue of Intensive Care Medicine, Dr. Paul Marik presents his personal critical viewpoint on the use of tight glycemic control (TGC) in the intensive care unit (ICU) [1]. He recommends to abandon glycemic control altogether for critically ill patients, based upon a risk of harm that, in his interpretation, would outweigh any possible benefit. At first sight, Dr. Marik’s arguments appear reasonable. However, in our opinion, his argumentation was built on a biased/incomplete analysis of the evidence. We here present another (in our view more balanced) analysis. We argue that Dr. Marik is inadvertently recommending clinicians to throw out the baby with the bathwater. …

Marik PE (2016) Glycemic control in acutely ill patients: low evidence of benefit, high evidence of harm! Intensive Care Med. doi:10.1007/s00134-016-4299-2

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10.

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11.

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12.

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13.

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14.

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15.

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16.

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17.

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18.

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19.

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20.

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21.

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22.

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23.

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24.

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25.

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26.

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27.

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28.

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29.

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Title: Blood glucose control in the ICU: don’t throw out the baby with the bathwater!
Authors: Jan Gunst
Greet Van den Berghe
Publication date: 01-09-2016
Publisher: Springer Berlin Heidelberg
Published in: Intensive Care Medicine / Issue 9/2016
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-016-4350-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Blood glucose control in the ICU: don’t throw out the baby with the bathwater!

Excerpt

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Excerpt

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