... fi nally adapting the insulin infusion are very demand-
ing for ICU staff . In addition, guidelines and protocols to
steer the insulin infusion are mostly rough guides and
experience and intuition ... critically ill patients.
TGC with intensive insulin therapy increases the
workload and responsibility for bedside nurses. Frequent
blood testing, interpretation of the bl...
... further aggravating the problem of power, the study
turned out to realize intensive insulin therapy, but without tight
glycaemic control. The median morning blood glucose level in
the intensive treatment ... Bouillon
R: Intensive insulin therapy in the medical ICU. N Engl J Med
2006, 354:449-461.
4. Krinsley JS: Effect of an intensive glucose management proto-
col...
... abstracts
of nosocomial infection in intensive care units in Europe:
results of the European Prevalence of Infection in Intensive
Care (EPIC) Study; EPIC International Advisory Committee.
JAMA 1995, ... resistance is similarly lacking
[38]. Nevertheless, there is some indirect evidence that the
use of combination antimicrobial therapy may be useful.
In the County of Nort...
... Changes in the incidence and outcome for
early acute injury in a cohort of Australian intensive care units.
Crit Care 2007, 11:R68.
2. Ympa YP, Sakr Y, Reinhart K, Vincent JL: Has mortality from
acute ... to
continue to rely on, and improve, the clinical clock. Currently,
consensus definitions for AKI exist and are being increasingly
used in the literature [7,8]. The...
... process. They discuss vulnerability,
error definition and measurement, and methods to improve the
process and outcomes of pharmacotherapy in the ICU.
The ICU represents the meeting of the high-risk ... accountability is mediated through the administrators
contributing to the implicated system-level errors.
Commentary
Pharmacotherapeutic friendly fire in the intensiv...
... computing technology is highlighted.
In critical care, as in other areas of health care, clinicians are
faced with rising health care costs and aging and increasingly
complex patients. Furthermore, ... information systems in the intensive care unit:
primum non nocere
Stephen E Lapinsky
Intensive Care Unit, Mount Sinai Hospital and Interdepartmental Division of Cri...
... study by Vesconi and colleagues. Interestingly, there was
also no difference in obtained net ultrafiltration between low
and intensive dose groups in the VA/NIH trial [7] and a study
by Tolwani and ... year. The ‘dose of
experience’ with RRT in the ICU might be a greater
determining factor of outcome in critically ill acute kidney
injury patients than the dose of d...
... reported in the previous issue of Critical Care, Vincent
and colleagues [1] investigated the possible increased risk
of patients with insulin-treated diabetes for morbidity and
mortality in the intensive ... only of patients with a history of
insulin-treated diabetes. is defi nition does not classify
between type 1 and type 2 diabetes, and from the large
type 2 d...