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Tytuł pozycji:

Effect of insulin infusion line on glycaemic variability in a perioperative high dependency unit (HDU): a prospective randomised controlled trial

Tytuł:
Effect of insulin infusion line on glycaemic variability in a perioperative high dependency unit (HDU): a prospective randomised controlled trial
Autorzy:
Stéphanie Genay
Bertrand Décaudin
Sabine Ethgen
Arnaud Alluin
Elodie Babol
Julien Labreuche
Hélène Behal
Marie-Christine Vantyghem
Pascal Odou
Gilles Lebuffe
Temat:
Insulin
Perioperative care
Infusions, intravenous/instrumentation
Infusion pumps
Drug delivery systems/instrumentation
Medical emergencies. Critical care. Intensive care. First aid
RC86-88.9
Źródło:
Annals of Intensive Care, Vol 7, Iss 1, Pp 1-9 (2017)
Wydawca:
SpringerOpen, 2017.
Rok publikacji:
2017
Kolekcja:
LCC:Medical emergencies. Critical care. Intensive care. First aid
Typ dokumentu:
article
Opis pliku:
electronic resource
Język:
English
ISSN:
2110-5820
Relacje:
http://link.springer.com/article/10.1186/s13613-017-0298-x; https://doaj.org/toc/2110-5820
DOI:
10.1186/s13613-017-0298-x
Dostęp URL:
https://doaj.org/article/60d7fa8b4c0148faaf0305f10b7d34ca  Link otwiera się w nowym oknie
Numer akcesji:
edsdoj.60d7fa8b4c0148faaf0305f10b7d34ca
Czasopismo naukowe
Background Glucose control is an important issue in post-operative patients. The objective here was to compare two insulin infusion lines by syringe pumps to assess the impact of medical devices on glycaemic variability in surgical patients under intensive insulin therapy. This open, prospective, single-centre randomised study was conducted in a fifteen-bed perioperative high dependency unit (HDU) in a university hospital. In total, 172 eligible patients receiving insulin therapy agreed to participate in the study. Subcutaneous continuous glucose monitoring was set up for all patients and an optimised system with a dedicated insulin infusion line for half of the patients. Results Eighty-six patients were infused via the optimised infusion line and 86 patients via the standard infusion line. No significant difference was found according to the glycaemic lability index score [mean difference between groups (95% CI): −0.09 (−0.34; 0.16), p = 0.49 after multiple imputation]. A glucose control monitoring system indicated a trend towards differences in the duration of hypoglycaemia (blood glucose level below 70 mg dl−1 (3.9 mmol l−1) over 1000 h of insulin infusion (9.7 ± 25.0 h in the standard group versus 4.4 ± 14.8 h in the optimised group, p = 0.059) and in the number of patients experiencing at least one hypoglycaemia incident (25.7 vs. 12.9%, p = 0.052). Time in the target range was similar for both groups. Conclusions The use of optimised infusion line with a dedicated insulin infusion line did not reduce glycaemic variability but minimised the incidence of hypoglycaemia events. The choice of the medical devices used to infuse insulin seems important for improving the safety of insulin infusion in perioperative HDU.

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