개인구독
소속 기관이 없으신 경우, 개인 정기구독을 하시면 저렴하게
논문을 무제한 열람 이용할 수 있어요.
지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 53 - 57 (5page)
이용수
초록· 키워드
오류제보하기
Purpose: Intensive IV insulin infusion therapy has been applied widely to critically ill patients. However, IV insulin protocols are complex, and require repeated calculations. The purpose of this study was to evaluate the safety and efficiency of a computerized insulin infusion (CII) protocol to replace manual insulin infusion protocols, for glucose control in critically ill patients. Methods: This was an observational study (September 2016 to January 2017) of 43 patients in ICU whose blood glucose level was between 140-180 mg/mL and could not be controlled by the conventional manual insulin protocol. The CII protocol was integrated in to the electronic medical record order system, and automatically calculated the insulin infusion dose and blood sugar test (BST) interval. BSTs were taken 48 hours pre- and post-initiation of the CII protocol. The proportion of BSTs in the normal (70-180 mg/mL), hypoglycemic (70 mg/mL), and severe hyperglycemic (> 250 mg/mL) range were recorded. Results: The mean number of BSTs performed before using the CII protocol was 10.3/person and 0.4/hour, and after implementing the protocol, increased to 21.7/person and 0.7/hour. The mean glucose level (281.4 mg/mL) decreased after using the CII protocol (195.5 mg/mL; p < 0.001). The percentage of BSTs within normal range increased from 22.5% to 44.9% after implementing the protocol (p < 0.001). Severe hyperglycemia (> 250 mg/mL) decreased from 47.3% to 17.9% after protocol implementation (p = 0.020). Conclusion: The CII protocol safely and successfully maintained a normal glucose range, and decreased severe hyperglycemia in intensive care patients.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Van den Berghe G / 2012 / Intensive insulin therapy in the ICU-reconciling the evidence / Nat Rev Endocrinol 8(6):374~378
Van den Berghe G / 2011 / Intensive insulin therapy to maintain normoglycemia after cardiac surgery / HSR Proc Intensive Care Cardiovasc Anesth 3(2):97~101
Van den Berghe G / 2009 / Intensive insulin therapy in the intensive care unit / CMAJ 180(8):799~800
Furnary AP / 1999 / Continuous intravenous insulin infusion reduces the incidence of deep sternal wound infection in diabetic patients after cardiac surgical procedures / Ann Thorac Surg 67(2):352~360
Krinsley JS / 2003 / Association between hyperglycemia and increased hospital mortality in a heterogeneous population of critically ill patients / Mayo Clin Proc 78(12):1471~1478
Van den Berghe G / 2011 / Intensive insulin therapy to maintain normoglycemia after cardiac surgery / HSR Proc Intensive Care Cardiovasc Anesth 3(2):97~101
Van den Berghe G / 2009 / Intensive insulin therapy in the intensive care unit / CMAJ 180(8):799~800
Furnary AP / 1999 / Continuous intravenous insulin infusion reduces the incidence of deep sternal wound infection in diabetic patients after cardiac surgical procedures / Ann Thorac Surg 67(2):352~360
Krinsley JS / 2003 / Association between hyperglycemia and increased hospital mortality in a heterogeneous population of critically ill patients / Mayo Clin Proc 78(12):1471~1478
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
An Electronic Health Record-Integrated Computerized Intravenous Insulin Infusion Protocol: Clinical Outcomes and in Silico Adjustment
Diabetes and Metabolism Journal
2020 .01
-
Improvement of compliance to the Portland intensive insulin therapy during liver transplantation after introducing an application software: a retrospective single center cohort study
Anesthesia and Pain Medicine
2022 .07
-
고용량 Insulin lispro 피하 주사 후 저 인슐린 혈증을 보인지속적 저혈당성 혼수 환자 1례
대한임상독성학회지
2016 .01
-
Insulin protocol to control post-pancreatectomy diabetes
Annals of Hepato-Biliary-Pancreatic Surgery
2021 .12
-
Transient Neonatal Diabetes Mellitus Managed with Continuous Subcutaneous Insulin Infusion (CSII) and Continuous Glucose Monitoring
Neonatal medicine
2021 .01
-
Effect of the Concomitant Use of Subcutaneous Basal Insulin and Intravenous Insulin Infusion in the Treatment of Severe Hyperglycemic Patients
Endocrinology and Metabolism
2022 .06
-
The Insulin Resistance but Not the Insulin Secretion Parameters Have Changed in the Korean Population during the Last Decade
Diabetes and Metabolism Journal
2015 .01
-
혈당 조절 프로토콜 적용에 따른 흉부외과 중환자의 혈당 조절 상태와 혈당 변동
중환자간호학회지
2015 .12
-
재조합 사람 인슐린에 대한 알레르기반응 1예
Allergy Asthma & Respiratory Diseases
2015 .01
-
Two Cases of Allergy to Insulin in Gestational Diabetes
Endocrinology and Metabolism
2015 .01
-
Glycemic control in acute illness
Korean Journal of Anesthesiology
2017 .01
-
Assessment of Insulin Secretion and Insulin Resistance in Human
Diabetes and Metabolism Journal
2021 .09
-
Comparison of Prevailing Insulin Regimens at Different Time Periods in Hospitalized Patients: A Real-World Experience from a Tertiary Hospital
Diabetes and Metabolism Journal
2022 .05
-
History of insulin treatment of pediatric patients with diabetes in Korea
Annals of Pediatirc Endocrinology & Metabolism
2021 .12
-
Use of insulin detemir in dogs with diabetes mellitus
Journal of Biomedical and Translational Research
2015 .01
-
A Century of Progress in Diabetes Care with Insulin: A History of Innovations and Foundation for the Future
Diabetes and Metabolism Journal
2021 .09
-
중환자의 혈당 조절: 최신 업데이트
Journal of Neurocritical Care
2018 .01
-
Self-Monitoring of Blood Glucose in Patients with Insulin-Treated Type 2 Diabetes Mellitus
Diabetes and Metabolism Journal
2018 .01
-
Insulin-siRNA와 human insulin degrading enzyme (hIDE)의 과발현이 당대사에 관여하는 insulin signaling에 미치는 영향
한국실험동물학회 학술발표대회 논문집
2015 .02
-
Surgical hand antisepsis : experimental study
Annals of Surgical Treatment and Research
2018 .07
이 논문의 저자 정보
최근 본 자료
댓글(0)
0