Anest. intenziv. Med. 2003;14(5):228-232

Evaluation of Therapeutic Protocol Aimed at Effectinevess of Close Blood Glucose Control inthe Critically IllArticles

V. Šrámek, L. Dadák, K. Mičkalová, J. Šneidr, I. Babáková

ARK FN U svaté Anny v Brně, přednosta prof. MUDr. Pavel Ševčík, CSc.

Objective:
To evaluate the impact of therapeutic protocol for glycaemia correction in the critically ill.

Design: Prospective, intervention study in one centre.Setting: Department of Anaesthesia and Intensive Care, St. Anna's University Hospital, Brno, Czech Republic.Material and method: Evaluation of glycaemia and insulin therapy during five day test in 8-bed general ICU. Evaluation ofcompliance with the therapeutic protocol and glycaemic values obtained by two methods (biochemical analyser andglucometer).

Results: Nurses followed the protocol in 71 out of 106 relevant cases (compliance 67 %). In case the hyperglycaemia wasmeasured, a significant decrease in glycaemia has been found in the following 6 hour period: from 9.2 (8.0-10.7) to 6.0(5.0-9.3) mmol/l; P

Keywords: intensive care; care of the critically ill patients; clinical protocols; blood glucose; insulin

Published: October 1, 2003  Show citation