intensive insulin therapy in the medical icu

... associated with intensive insulin ther-apy was similar to that in our previous report5 and exceeded the effect on mortality in the ICU, indicating that intensive insulin therapy during intensive ... article is being provided free of charge for use in Viet Nam. Intensive Insulin Therapy in the Medical ICU n engl j med 354;5 www.nejm.org february 2, 2006459 medical ICU included in the intention-to-treat ... other than insulin. Among the 386 patients in the intensive- treatment group, in- tensive insulin therapy for at least a third day, as compared with conventional therapy, accelerated weaning...

Báo cáo y học: "Is it time for implementation of tight glycaemia control by intensive insulin therapy in every ICU" pdf

... purposes) ICU = intensive care unit; IIT = intensive insulin therapy. Available online http://ccforum.com/content/10/2/130Abstract The second study on tight glycaemia control by intensive insulin therapy ... Journal of Medicine,Greet Van den Berghe and co-workers [1] published aconfirmation of the life-saving effects of tight glycaemiacontrol by intensive insulin therapy (IIT) in medical intensive care ... already underlined [7], the mortality rate of the medical patients was high. Other local factors could also haveinfluenced the results, thereby questioning the applicabilityof the findings to patients...

intensive insulin therapy in critically ill patients

... medications otherthan insulin or antibiotics did not differ significantlybetween the two treatment groups.Because intensive insulin therapy reduced the lengthof stay in the intensive care ... per-cent with intensive insulin therapy; P=0.005). The greatest reduction in mortality involved deaths due tomultiple-organ failure with a proven septic focus. In- tensive insulin therapy also ... percent).Markers of inflammation were less frequently ab-normal in the intensive- treatment group than in the conventional-treatment group (P«0.02). The patientswho received intensive insulin therapy were...

Báo cáo y học: "Optimizing antibiotic therapy in the intensive care unit setting" pdf

... et al examined the influence of a scheduled change in antibiotic on the incidence of nosocomial infectionsamong patients undergoing cardiac surgery [34]. In the 6 months preceding the surgery, ... http://ccforum.com/content/5/4/189researchcommentaryreviewreports meeting abstractsof nosocomial infection in intensive care units in Europe:results of the European Prevalence of Infection in Intensive Care (EPIC) Study; EPIC International Advisory ... patients,using gloves and chlorhexidine soap for hand washing,and eliminating electronic thermometers), that nearly 50%of the inpatients at their hospital were found to havegastrointestinal colonization...

Báo cáo y học: " Continuing HIV therapy in the ICU" ppt

... Ltd (Print ISSN 1364-8535; Online ISSN 1466-609X)Abstract The risks and benefits of stopping antiretroviral therapy in patients admitted to the ICU are largelyunmeasured. In many cases therapy ... antiretroviral therapy; ICU = intensive care unit.Available online http://ccforum.com/content/5/5/247 The widespread introduction of highly active antiretroviral therapy (HAART) in 1996 has revolutionised ... immunosuppressive in nature. If HAART isdiscontinued on admission to ICU, the risk of furtheropportunistic infections for these patients will increasedramatically [7]. The fourth and final group...

Báo cáo khoa học: " Development of liver dysfunction under artificial nutrition: a reason to modify nutrition therapy in the intensive care unit" docx

... and must therefore be an integralcomponent of modern medical therapy. In many cases the primary disease is the decisive cause of the development ofliver dysfunction; intravenous or even enteral ... occur within 2 to 4 weeksof PN/EN therapy and in most cases these return to normaleven when PN is continued; a chronic liver dysfunction isgenerally not to be expected.Competing interestsParts ... and had alonger ICU stay; they were therefore more seriously ill, whichmight explain the unexpectedly high prevalence rate.However, the possibility cannot be excluded that the enteralsolutions...

Báo cáo y học: " Formulas Pro/con debate: Is intensive insulin therapy targeting tight blood glucose control of benefit in critically ill patient" doc

... opinion: What is the merit of using intensive insulin therapy to maintain tightblood glucose control in our patients?Our clinical practice is in a multidisciplinary adult ICU thatadmits medical ... Health Evaluation II score; ICU = intensive care unit; IIT, intensive insulin therapy; MICU = medical intensive care unit; RCT = randomized controlled trial; SICU = surgical intensive care unit; VISEP, ... online http://ccforum.com/content/12/2/212AbstractYou have decided to develop a protocol for insulin therapy in your intensive care unit (ICU) . You wonder about the merit of using intensive insulin...

Báo cáo y học: "Heparin-induced thrombocytopenia during renal replacement therapy in the intensive care uni" potx

... and platelet activation maytherefore be important in determining clinical outcomes.CommentaryHeparin-induced thrombocytopenia during renal replacement therapy in the intensive care unitAndrew ... exposure. Using an initial priming solution containing10,000 IU heparin, followed by a heparin infusion, maytherefore have accounted for the increased incidence of HIT(8%) reported [4]. Heparin/PF4 ... syndromefollowing intravenous heparin administration [9].This disparity between the detection of heparin/PF4antibodies by EIA and the clinical sequalae has led to the concept of separating HIT from...

Báo cáo y học: "Benefits of intensive insulin therapy on neuromuscular complications in routine daily critical care practice: a retrospective study" docx

... sig-Figure 1CONSORT diagram of the studyCONSORT diagram of the study. IIT = intensive insulin therapy; MICU = medical intensive care unit; SICU = surgical intensive care unit.Critical Care ... was implemented in both ICUs. EMG = needle electromyography; IIT = intensive insulin therapy; MICU = medical intensive care unit; NCS = nerve conduction studies; SICU = surgical intensive care ... polyneuropathy; IIT = intensive insulin therapy; IQR = interquartile range; ICU = intensive car unit; n = number; NMBA = neuromuscular blocking agent.Open AccessAvailable online http://ccforum.com/content/13/1/R5Page...

... BouillonR: Intensive insulin therapy in the medical ICU. N Engl J Med2006, 354:449-461.9. Van den Berghe G, Wilmer A, Milants I, Wouters PJ, Bouckaert B,Bruyninckx F, Bouillon R, Schetz M: Intensive ... Vlasselaers D, Ferdinande P, Lauwers P: Outcomebenefit of intensive insulin therapy in the critically ill: insulin dose versus glycemic control. Crit Care Med 2003, 31:359-366.11. Dellinger RP, Carlet ... postburn insulin resistance. Metabolism 1989, 38:983-989.3. Robinson LE, van Soeren MH: Insulin resistance and hyper-glycemia in critical illness: role of insulin in glycemic control.AACN Clin Issues...

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