Trauma-Related Critical Care

Abstract

This review demonstrated the most recent data of trauma-related critical care. Further studies will be needed to settle growing controversies in the management of critically injured patients.

Optimal Glucose Management in the Perioperative Period

“…,56 Despite these associations, trauma patients account for only a small percentage of patients addressed in studies of critically ill patients and IIT 57. Theoretically, critically ill trauma patients can be treated as ICU patients; yet hyperglycemia in the Box 2 Indications for intravenous insulin therapy Type 1 diabetics who are instructed as nothing by mouth (NPO), perioperative, or in labor and delivery Any ICU patient with BG greater than 180 mg/dL Poorly controlled hyperglycemia despite subcutaneous insulin therapy Patients with known diabetes status postcardiac surgery Patients with acute coronary syndrome or acute MI with BG greater than 180 mg/dL Patients with diabetic ketoacidosis or hyperosmolar hyperglycemic syndromesOptimal Glucose Management noncritically ill trauma patient is largely uninvestigated at this time.…”