Evaluation of Therapeutic Protocol Aimed at Effectinevess of Close Blood Glucose Control inthe Critically Ill

Czech version

Authors: V. Šrámek; L. Dadák; K. Mičkalová; J. Šneidr; I. Babáková
Authors‘ workplace: ARK FN U svaté Anny v Brně, přednosta prof. MUDr. Pavel Ševčík, CSc.
Published in: Anest. intenziv. Med., , 2003, č. 5, s. 228-232
Category:

Overview

Objective:
To evaluate the impact of therapeutic protocol for glycaemia correction in the critically ill.Design: Prospective, intervention study in one centre.Setting: Department of Anaesthesia and Intensive Care, St. Anna’s University Hospital, Brno, Czech Republic.Material and method: Evaluation of glycaemia and insulin therapy during five day test in 8-bed general ICU. Evaluation ofcompliance with the therapeutic protocol and glycaemic values obtained by two methods (biochemical analyser andglucometer).Results: Nurses followed the protocol in 71 out of 106 relevant cases (compliance 67 %). In case the hyperglycaemia wasmeasured, a significant decrease in glycaemia has been found in the following 6 hour period: from 9.2 (8.0–10.7) to 6.0(5.0–9.3) mmol/l; P

Key words:
intensive care – care of the critically ill patients – clinical protocols – blood glucose – insulin

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Anaesthesiology, Resuscitation and Inten Intensive Care Medicine

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Article was published in

Anaesthesiology and Intensive Care Medicine

2003 Issue 5