Home Current Issue Previous Issues CE Collections For Authors Journal Info
Skip Navigation LinksHome > March/April 2014 - Volume 33 - Issue 2 > Glucose Management in Critically Ill Medical and Surgical Pa...
Dimensions of Critical Care Nursing:
doi: 10.1097/DCC.0000000000000025
Educational DIMENSION

Glucose Management in Critically Ill Medical and Surgical Patients

Schiffner, Lauren MSN, CRNP, AGACNP-BC, CCRN

Collapse Box

Abstract

Currently, many providers treat hyperglycemia in the critically ill based on guidelines suggesting target glucose ranges between 140 and 180 mg/dL. However, recent literature has attempted to challenge this by comparing the effect of intensive insulin therapy (IIT) to conventional insulin therapy. Four studies examining the impact of IIT and conventional insulin therapy on mortality in critically ill patients were examined and analyzed. The outcomes from these studies are mixed with neither therapy showing marked improvement in morbidity and mortality rates; in fact, these studies showed a trend toward increased mortality related to an increased incidence of hypoglycemia with IIT. Factors such as days of mechanical ventilation, infection rates, length of stay in the ICU, and incidence of organ failure were included as secondary end points. The data suggest IIT may improve patient outcomes in some areas, but the data are not statistically significant, and adoption of an IIT protocol is not recommended at this time.

Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins

Login

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.

 Error

Web Part Error: A Web Part or Web Form Control on this Page cannot be displayed or imported. The type could not be found or it is not registered as safe.

Error Details:
[UnsafeControlException: A Web Part or Web Form Control on this Page cannot be displayed or imported. The type could not be found or it is not registered as safe.]
  at Microsoft.SharePoint.ApplicationRuntime.SafeControls.GetTypeFromGuid(Guid guid, Guid solutionId, String assemblyFullName, String typeFullName, Boolean throwIfNotFound)
  at Microsoft.SharePoint.WebPartPages.SPWebPartManager.CreateWebPartsFromRowSetData(Boolean onlyInitializeClosedWebParts)