The Glucogram: A New Quantitative Tool for Glycemic Analysis in the Surgical Intensive Care Unit

Stawicki, S.P.; Schuster, Dara; Liu, J.F.; Kamal, Jyoti; Erdal, Selnur; Gerlach, Anthony T.; Whitmill, Melissa L.; Lindsey, David E.; Thomas, Yalaunda M.; Murphy, Claire V.; Steinberg, Steven M.; Cook, Charles H.

doi:10.1016/j.jss.2009.11.571

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Insulin administration has been shown to improve muscle protein synthesis, normalize mitochondrial function, reduce oxidative stress, limit lean muscle mass loss, accelerate healing time, and improve long-term rehabilitation [176][177][178][179]. In addition to the normalization of serum glucose levels, the reduction in glycemic variability may be equally important [180,181]. Other beneficial effects of goal-directed insulin therapy have been identified, including potential reductions in mortality, infections, sepsis, acute kidney injury, multiple organ failure, days on a ventilator, and hospital length of stay [177,178,182].…”

Section: The Importance Of Endocrine System Including Glycemic Controlmentioning

confidence: 99%

Burn Shock and Resuscitation: Many Priorities, One Goal

Sojka¹,

Krakowski²,

Stawicki³

2020

Clinical Management of Shock - The Science and Art of Physiological Restoration

View full text Add to dashboard Cite

Burn injuries come in a wide variety of presentations, depending on the size and depth of the thermal insult, concurrent traumatic or inhalation injury, as well as the associated physiological response of the burn victim. To minimize patient morbidity and reduce mortality, prompt recognition and tailored treatment strategies are critically important. As the percentage of total body surface area (TBSA) burned increases so do the body's physiologic response and the associated complexity of management. Understanding the pathophysiology of burn injury allows the practitioner to optimize and individualize burn patient management-a component of care critical to limiting wound progression and improving outcomes. Burn patient care starts with an accurate and thorough burn patient evaluation conducted in person by an experienced provider. For burns >10-15% TBSA, prompt initiation of fluid resuscitation greatly impacts clinical outcomes. Several formulae have been published to guide crystalloid and/or colloid fluid resuscitation in the setting of burn shock. Other important considerations include ambient temperature control, early enteral nutritional support, vitamin and mineral supplementation, assessment for inhalation injury, glycemic control, early recognition of potential complications of large volume resuscitation, potential need for cardiovascular support, and early wound excision and coverage. Burn patients often require multidisciplinary teams to manage the physical, social, and psychological effects associated with their injury. Dedicated burn centers are the ideal places for meeting the complex needs of each burn patient.

show abstract

Section: The Importance Of Endocrine System Including Glycemic Controlmentioning

confidence: 99%

Burn Shock and Resuscitation: Many Priorities, One Goal

Sojka¹,

Krakowski²,

Stawicki³

2020

Clinical Management of Shock - The Science and Art of Physiological Restoration

View full text Add to dashboard Cite

show abstract

“…[ 1 ] Glucose dysregulation may be related, in part, to transport practices such as discontinuation of insulin pumps and alterations in intravenous fluid infusions during transport. Because the degree of glycemic control and the associated glycemic variability both correlate with patient outcomes,[ 48 49 ] close attention should be paid to glucose regulation during all phases of patient care, including IHTs. [ 50 ] It is advisable for clinical teams to include glycemic control as an integral part of pre-IHT debriefing.…”

Section: Hypoglycemia and Hyperglycemiamentioning

confidence: 99%

Complications during intrahospital transport of critically ill patients: Focus on risk identification and prevention

Knight

Maheshwari

Hussain

et al. 2015

Int J Crit Illn Inj Sci

View full text Add to dashboard Cite

Intrahospital transportation of critically ill patients is associated with significant complications. In order to reduce overall risk to the patient, such transports should well organized, efficient, and accompanied by the proper monitoring, equipment, and personnel. Protocols and guidelines for patient transfers should be utilized universally across all healthcare facilities. Care delivered during transport and at the site of diagnostic testing or procedure should be equivalent to the level of care provided in the originating environment. Here we review the most common problems encountered during transport in the hospital setting, including various associated adverse outcomes. Our objective is to make medical practitioners, nurses, and ancillary health care personnel more aware of the potential for various complications that may occur during patient movement from the intensive care unit to other locations within a healthcare facility, focusing on risk reduction and preventive strategies.

show abstract

The Glucogram: A New Quantitative Tool for Glycemic Analysis in the Surgical Intensive Care Unit

Cited by 2 publications

References 0 publications

Burn Shock and Resuscitation: Many Priorities, One Goal

Burn Shock and Resuscitation: Many Priorities, One Goal

Complications during intrahospital transport of critically ill patients: Focus on risk identification and prevention

Contact Info

Product

Resources

About