An Insulin Infusion Protocol in Critically Ill Cardiothoracic Surgery Patients

2004 ◽  
Vol 38 (7-8) ◽  
pp. 1123-1129 ◽  
Author(s):  
Christopher R Zimmerman ◽  
Mark E Mlynarek ◽  
Jack A Jordan ◽  
Carol A Rajda ◽  
H Mathilda Horst
Keyword(s):  
Critically Ill ◽  
Insulin Infusion ◽  
Cardiothoracic Surgery ◽  
Insulin Infusion Protocol ◽  
Infusion Protocol

Morbidity Reduction in Critically Ill Trauma Patients Through use of a Computerized Insulin Infusion Protocol: A Preliminary Study

2007 ◽  
Vol 62 (6) ◽  
pp. 1370-1376 ◽  
Author(s):  
Eric A. Toschlog ◽  
Christopher Newton ◽  
Nichole Allen ◽  
Mark A. Newell ◽  
Claudia E. Goettler ◽  
...  
Keyword(s):  
Critically Ill ◽  
Insulin Infusion ◽  
Trauma Patients ◽  
Preliminary Study ◽  
Insulin Infusion Protocol ◽  
Infusion Protocol

Safety and efficacy of a graduated intravenous insulin infusion protocol in critically ill trauma patients receiving specialized nutritional support

Nutrition ◽  
2008 ◽  
Vol 24 (6) ◽  
pp. 536-545 ◽  
Author(s):  
Roland N. Dickerson ◽  
Cortney E. Swiggart ◽  
Laurie M. Morgan ◽  
George O. Maish ◽  
Martin A. Croce ◽  
...  
Keyword(s):  
Critically Ill ◽  
Nutritional Support ◽  
Insulin Infusion ◽  
Trauma Patients ◽  
Safety And Efficacy ◽  
Intravenous Insulin ◽  
Insulin Infusion Protocol ◽  
Infusion Protocol

1308: ELECTRONIC INSULIN INFUSION PROTOCOL WITH LESS FREQUENT GLUCOSE MONITORING IN THE CRITICALLY ILL

2020 ◽  
Vol 48 (1) ◽  
pp. 631-631
Author(s):  
Amos Lal ◽  
Sai Ramya Katta ◽  
Jennifer Lee ◽  
Susan George ◽  
Nitin Trivedi
Keyword(s):  
Critically Ill ◽  
Insulin Infusion ◽  
Glucose Monitoring ◽  
Insulin Infusion Protocol ◽  
Infusion Protocol

Abstract 3529: Feasibility, Effectiveness and Safety of Intensive Glucose Control in Critically Ill Hyperglycemic Patients Hospitalized With Acute Coronary Syndromes

Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Mikhail Kosiborod ◽  
Silvio Inzucchi ◽  
Mitchell Hamburg ◽  
Lisa Riggs ◽  
Sindhu Koshy ◽  
...  
Keyword(s):  
Critically Ill ◽  
Insulin Infusion ◽  
Laboratory Data ◽  
Female Gender ◽  
Intensive Glucose Control ◽  
Post Intervention ◽  
Intravenous Insulin ◽  
Coronary Syndromes ◽  
Insulin Infusion Protocol ◽  
Infusion Protocol

Background: Elevated blood glucose (BG) is associated with higher mortality and complications in patients (pts) hospitalized with AMI. While current ACC/AHA guidelines recommend “normalization” of BG in critically ill AMI pts, experience with implementation of intensive BG control protocols in this population is extremely limited. Methods: We implemented an intensive BG control protocol at the Mid America Heart Institute (MAHI) CCU beginning 08/2006, with the purpose of evaluating its feasibility, safety and effectiveness. All ACS patients with admission BG >140 mg/dL received a modified Yale-MAHI intravenous insulin infusion protocol, with a target BG range of 90–120 mg/dL. Demographic, clinical and laboratory data were abstracted from medical records of 94 consecutive pts that received the protocol (post-intervention), and compared with data on 138 consecutive ACS pts with admission BG >140 mg/dL hospitalized in CCU immediately prior to the protocol implementation (pre-intervention). Results: There were no significant differences between pre and post-intervention pts in age (64 vs. 66, p=0.2), female gender (40 vs. 39%, p=0.8), known diabetes (57 vs. 51%, p=0.3), or admission BG (218 vs. 203 mg/dL, p=0.13). Mean 24 hour BG was markedly reduced in post-intervention vs. pre-intervention pts (132 vs. 181 mg/dL, p<0.001). The protocol was very effective in both rapid attainment and maintenance of BG targets (Figure ). The rate of hypoglycemia (BG <60 mg/dL) was 0.72%, and none of the hypoglycemic events were symptomatic. Conclusions: Intensive BG control in critically ill ACS patients with the modified Yale-MAHI protocol is feasible, effective and safe.

CREATION AND REFINEMENT OF A COMPUTERIZED INSULIN INFUSION PROTOCOL FOR CONTROLLING BLOOD SUGARS IN BOTH ADULT AND PEDIATRIC CRITICALLY ILL PATIENTS

CHEST Journal ◽  
2006 ◽  
Vol 130 (4) ◽  
pp. 148S
Author(s):  
Ellie L. Hirshberg ◽  
Gitte Larsen ◽  
Kathy Sward ◽  
Dean Sorenson ◽  
Vijay Srinivasan ◽  
...  
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Insulin Infusion ◽  
Insulin Infusion Protocol ◽  
Infusion Protocol
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