Perioperative glycemic control with a computerized algorithm versus conventional glycemic control
نویسندگان
چکیده
منابع مشابه
Creating a Perioperative Glycemic Control Program
Hyperglycemia in the surgical population is a recognized risk factor for postoperative complications; however, there is little literature to date regarding the management of hyperglycemia in the perioperative period. Here, we detail the strategies that our institutions have employed to identify and treat hyperglycemia in patients with diabetes who present for surgery. Our approach focuses on th...
متن کاملPharmacist glycemic control team improves quality of glycemic control in surgical patients with perioperative dysglycemia.
CONTEXT Perioperative hyperglycemia is a risk factor for increased morbidity and mortality. Improved glycemic control has been demonstrated to reduce surgical site infections, reduce perioperative morbidity, and reduce length of stay. However, safe and effective perioperative glycemic control can be limited by expert clinician availability. OBJECTIVE To improve quality by reliably providing s...
متن کاملGlycemic Control Through Computerized Subcutaneous Insulin Calculators
Sliding scale insulin (SSI) is a reactive therapy and does not maintain euglycemia in hospitalized patients. A combination of basal insulin, prandial insulin, and correction factor dosing provides a more consistent insulin state encouraging improved glycemic control. Intermountain Healthcare developed an application consisting of four calculators incorporating scheduled (basal and prandial) and...
متن کاملPerioperative glycemic control: an evidence-based review.
Hyperglycemia in perioperative patients has been identified as a risk factor for morbidity and mortality. Intensive insulin therapy (IIT) has been shown to reduce morbidity and mortality among the critically ill, decrease infection rates and improve survival after cardiac surgery, and improve outcomes in acute neurologic injury and acute myocardial infarction. However, recent evidence of severe...
متن کاملRelationship between perioperative glycemic control and postoperative infections.
Perioperative hyperglycemia in critically ill surgery patients increases the risk of postoperative infection (POI), which is a common, and often costly, surgical complication. Hyperglycemia is associated with abnormalities in leukocyte function, including granulocyte adherence, impaired phagocytosis, delayed chemotaxis, and depressed bactericidal capacity. These leukocyte deficiencies are the c...
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ژورنال
عنوان ژورنال: Critical Care
سال: 2012
ISSN: 1364-8535
DOI: 10.1186/cc10786