Published in:
Open Access
01-02-2011 | Poster presentation
Tight glucose control managed by ICU nurses induces extremely low rates of hypoglycemia
Authors:
F Delodder, C Joseph, P Maravic, T Szostek, MD Schaller, M Berger, JP Revelly, P Eggimann
Published in:
Critical Care
|
Special Issue 1/2011
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Excerpt
Recent studies failed to confirm survival benefit of tight glucose control (TGC). Moreover, they reported high rates (6 to 18%) of hypoglycemia (<2.5 mmol/l) associated with significant mortality. The protocols used for TGC may be difficult to apply. The reasons for blood glucose level variations are complex and TGC requires in-depth individualized knowledge of the patient condition. Frequent blood glucose measurements are mandatory for continue adaptations of insulin and glucose administration. We report the evolution of blood glucose level through various phases of TGC implementation, which become progressively completely nurse driven. …
