Intensive insulin therapy in the intensive care unit

Intensive insulin therapy in the intensive care unit.

Several studies have shown that elevated glucose concentrations in patients with acute coronary syndrome and other acute severe illnesses are associated with increased short- and long-term all-cause and cardiovascular mortality (CVM). This has subsequently led to the use of intensive insulin therapy (IIT) to control hyperglycemia. Earlier studies have shown that the prevention of hyperglycemia ...

Insulin therapy within the intensive care unit

standards an expert group needs to be established to instigate their initiation and implementation. It becomes essential to examine the beliefs and values underpinning these standards and to ask whether they cohere with clinical practice. Within our own clinical area, it is particularly pertinent that an agreed understanding is met regarding treatment. This has clearly been shown during the rec...

Dermatology in the intensive care unit

Background: Considering the prevalence of skin lesions and drug eruptions in intensive care units and the absence of research about it, we decided to study skin lesions of patients admitted in intensive care unit. Patients and Methods: In this descriptive study all patients admitted in intensive care units of Al-Zahra Hospital in Isfahan in 1376-78 were observed and examined by a resident in De...

Intensive insulin therapy reduced morbidity but not mortality in patients in the medical intensive care unit.

M e t h o d s Design: Randomized controlled trial. Allocation: {Concealed}†.* Blinding: Blinded (primary outcome assessors and data analysts). Follow-up period: Until hospital discharge. Setting: A medical ICU in Leuven, Belgium. Patients: 1200 medical patients (mean age 64 y, 62% men) admitted to the medical ICU who were assumed to require at least 3 days of intensive care. Patients were exclu...

Glucocorticoid therapy in the intensive care unit.