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Báo cáo y học: "Tight glycaemic control: intelligent technology or a nurse-wise strategy"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Tight glycaemic control: intelligent technology or a nurse-wise strategy? | Available online http ccforum.eom content 11 5 421 Letter Tight glycaemic control intelligent technology or a nurse-wise strategy Mart J de Graaff1 2 Peter E Spronk1 3 4 and Marcus J Schultz1 2 3 1 Department of Intensive Care Medicine Academic Medical Center University of Amsterdam Meibergdreef 9 1105 AZ Amsterdam The Netherlands 2Laboratory of Experimental Intensive Care and Anesthesiology Academic Medical Center University of Amsterdam Meibergdreef 9 1105 AZ Amsterdam The Netherlands 3Hermes Critical Care Group Gelre Hospitals location Lucas Apeldoorn The Netherlands 4Department of Intensive Care Medicine Gelre Hospitals location Lucas Albert Schweitzerlaan 31 7334 DZ Apeldoorn The Netherlands Corresponding author Mart J de Graaff m.j.degraaff@amc.uva.nl Published 24 September 2007 This article is online at http ccforum.com content 11 5 421 2007 BioMed Central Ltd Critical Care 2007 11 421 doi 10.1186 cc6124 See related research by Shulman et al. http ccforum.com content 11 4 R75 Despite disappointing findings with the computerized decision-supported tight glycaemic control TGC protocol Shulman and colleagues 1 argue that one reason to proceed with computerized TGC protocols is that complex protocols remain mandatory for TGC. Indeed most intensivists think of TGC as difficult and complex. In The Netherlands as many as 46 different protocols are in use including protocols with flowcharts sliding scales calculators and conversion tables as well as computerized decisionsupport protocols survey de Graaff MJ Royakkers AANM Kieft H Spronk PE van der Sluijs HP Schultz MJ unpublished data they all are exceptionally complex and frequently difficult to follow. We recently had the opportunity to visit the Leuven hospital and were surprised to see their protocol which is remarkably concise far from complex and consequently very easy to follow. In fact their protocol is no more than a small set of written guidelines that nurses hardly ever use after having gained experience