医学
血糖性
低血糖
重症监护医学
重症监护室
病危
重症监护
患者安全
医疗保健
胰岛素
内科学
经济增长
经济
作者
Mira Loh-Trivedi,W Christopher Croley
出处
期刊:Current Drug Safety
[Bentham Science]
日期:2010-01-01
卷期号:5 (1): 19-21
被引量:1
标识
DOI:10.2174/157488610789869175
摘要
Critically ill patients admitted to intensive care units (ICUs) often present with multiple medical or surgical problems requiring a high level of care. In addition to a patients underlying illness, a number of known risk factors can predispose patients to episodes of hyperglycemia as well as hypoglycemia. The concept of glycemic control and its implication on morbidity and mortality has been welldescribed, along with the potential risks. Conflicting study results have complicated implementing universal methods for optimal glycemic control in the ICUs. There are many factors to consider when implementing intensive glycemic control, including reliability of point-of-care testing for glucose measurement, healthcare resources, types of protocols and appropriate target ranges. It is important that clinicians fully understand the risks and benefits of glucose management in the ICU setting to safely administer this potentially beneficial therapy. Keywords: Hyperglycemia, insulin, patient safety, hypoglycemia, intensive care unit
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