Critical Care

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Tight glycaemic control: a prospective observational study of a computerised decision-supported intensive insulin therapy protocol

Rob Shulman*, Simon J Finney, Caoimhe O'Sullivan, Paul A Glynne and Russell Greene

Critical Care 2007, 11:R75 doi:10.1186/cc5964

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Health technology assessment review: Computerized glucose regulation in the intensive care unit - how to create artificial control

Miriam Hoekstra, Mathijs Vogelzang, Evgeny Verbitskiy, Maarten WN Nijsten Critical Care 2009, 13:223 (16 October 2009)

Research   Open Access

Computerized intensive insulin dosing can mitigate hypoglycemia and achieve tight glycemic control when glucose measurement is performed frequently and on time

Rattan Juneja, Corbin P Roudebush, Stanley A Nasraway, Adam A Golas, Judith Jacobi, Joni Carroll, Deborah Nelson, Victor J Abad, Samuel J Flanders Critical Care 2009, 13:R163 (12 October 2009)

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A systematic review on quality indicators for tight glycaemic control in critically ill patients: need for an unambiguous indicator reference subset

Saeid Eslami, Nicolette F de Keizer, Evert de Jonge, Marcus J Schultz, Ameen Abu-Hanna Critical Care 2008, 12:R139 (11 November 2008)

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Intensive insulin therapy and mortality in critically ill patients

Miriam M Treggiari, Veena Karir, N David Yanez, Noel S Weiss, Stephen Daniel, Steven A Deem Critical Care 2008, 12:R29 (29 February 2008)

Intensive insulin therapy was not associated with a reduction in hospital mortality and was potentially harmful to some subgroups in a mixed cohort study of more than 10,000 critically ill patients.

Research article   Open Access

Nurse-led implementation of an insulin-infusion protocol in a general intensive care unit: improved glycaemic control with increased costs and risk of hypoglycaemia signals need for algorithm revision

Kristin Alm-Kruse, Eva M Bull, Jon H Laake BMC Nursing 2008, 7:1 (18 January 2008)

The implementation of a strict glycemic control algorithm resulted in increased costs and more cases of severe hypoglycemia, demonstrating the need for algorithm revision and improved staff training.

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Tight glycaemic control: intelligent technology or a nurse-wise strategy?

Mart J de Graaff, Peter E Spronk, Marcus J Schultz Critical Care 2007, 11:421 (24 September 2007)

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Is there more to glycaemic control than meets the eye?

J Geoffrey Chase, Geoffrey M Shaw Critical Care 2007, 11:160 (30 August 2007)