Use of a computerized intravenous insulin algorithm within a nurse-directed protocol for patients undergoing cardiovascular surgery

Journal of Diabetes Science and Technology

Volumn 2, Issue 3, 2008, Pages 369-375

  Davidson, Paul C ^a   Steed, R Dennis ^b   Bode, Bruce W ^a   Hebblewhite, Harry R ^a   Prevosti, Louis ^c   Cheekati, Vasundhara ^d  

^a ATLANTA DIABETES ASSOCIATES   (United States)

^b Southeastern Endocrine and Diabetes   (United States)

^c Peachtree Cardiovascular and Thoracic Surgeons   (United States)

^d ATLANTA MEDICAL CENTER   (United States)

Author keywords

Basal bolus; Blood glucose; Cardiovascular; Cardiovascular surgery; Diabetes; Glycemic protocol; Insulin; Intravenous

Indexed keywords

EID: 76749111429     PISSN: None     EISSN: 19322968     Source Type: Journal    
DOI: 10.1177/193229680800200305     Document Type: Conference Paper

References (10)

1. Van den Berghe G, Wouters P, Weekers F, Verwaest C, Bruynincks F, Schetz M, Vlasselaers D, Ferdinande P, Lauwers P, Bouillon R. Intensive insulin therapy in the critically ill patients. N Engl J Med. 2001;345(19):1359-67.
2. Furnary AP, Gao G, Grunkemeier GL, Wu Y, Zerr KJ, Bookin SO, Floten HS, Starr A. Continuous insulin infusion reduces mortality in patients with diabetes undergoing coronary artery bypass grafting. J Thorac Cardiovasc Surg. 2003;125(5):1007-21.
3. Krinsley JS. Effect of intensive glucose management on the mortality of critically ill adult patients. Mayo Clin Proc. 2004;79(8):992-1000.
4. Krinsley JS, Grover A. Severe hypoglycemia in critically ill patients: risk factors and outcomes. Crit Care Med. 2007;35(10):2262-7.
5. American College of Endocrinology and American Diabetes Association consensus statement on in-patient diabetes and glycemic control. Endocr Pract. 2006;12(14):458-68
6. and Diabetes Care. 2006;29(8):1955-62.
7. Institute for Healthcare Improvement. Available from: www. IHI.org/IHI/Topics/PatientSafety/SurgicalSiteInfections/Changes/SSI+ Maintain+Glucose+Control.htm.
8. Richardson PR, Steed RD, Davidson PC. Immediate correction of hypoglycemia without rebound using variable dosing of IV glucose. Diabetes. 1999;48(Suppl 1):A120.
9. Davidson PC, Steed RD, Bode BW. Glucommander, a computer-directed intravenous insulin system, shown to be safe, simple, and effective in 120, 618 h of operation. Diabetes Care. 2005;28(10):2418-23.
10. Davidson PC, Hebblewhite HR, Bode BW Steed RD, Welch NS, Greenlee MC, Richardson PL, Johnson J. Statistically-base CSII parameters: correction factor, CF (1700 rule), carbohydrate-to-insulin ratio, CIR (2.8 rule), and basal-to-total ratio. Diabetes Technol Ther. 2003;5(5):A237.