Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Blood glucose control in the intensive care unit: discrepancy between belief and practice. | Vlasselaers Critical Care 2010 14 145 http content 14 3 145 CRITICAL CARE COMMENTARY L__ Blood glucose control in the intensive care unit discrepancy between belief and practice Dirk Vlasselaers See related research by Preissig and Rigby http content 14 1 R11 Abstract A survey among pediatric intensive care physicians showed that a great disparity exists between physicians beliefs regarding hyperglycemia in critically ill patients and their daily practices to screen and treat hyperglycemia. One of the most prominent reasons for hesitating to implement tight glycemic control is the fear of evoking iatrogenic hypoglycemia. Results from ongoing and future studies focusing on both short- and long-term effects of tight glycemic control in broad populations of critically ill children can provide further strong evidence for implementing tight glycemic control. Improving the accuracy of bedside blood glucose measurements and developing reliable computer algorithms to steer insulin infusions can help to overcome the fear of evoking iatrogenic hypoglycemia. In a recent issue of Critical Care Preissig and Rigby 1 surveyed the attitudes and practice habits among pediatric intensivists in the US regarding hyperglycemia and tight glycemic control TGC in critically ill children. The authors report a considerable disparity between the convictions of the attending physicians and their actual daily practices for blood glucose control in the intensive care unit ICU . Ninety-seven percent of the participants believed that subsets of critically ill adult patients should be treated for hyperglycemia and 67 were convinced that subsets of critically ill children would benefit from glycemic control. However only a minority of the centers have a standard approach for screening and treating hyperglycemia 7 and 80 lack a standard approach to screen for and treat elevated blood glucose levels. This study provides therefore good examples of the Correspondence .
