Document Detail


Perioperative glycemic control: use of a hospital-wide protocol to safely improve hyperglycemia.
MedLine Citation:
PMID:  21803272     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Perioperative hyperglycemia impairs immunity and contributes to increased susceptibility to infection, higher incidence of multiorgan dysfunction, and greater mortality. Strict glycemic control is associated with lower infection rates, decreased length of stay (LOS), and faster recovery. A protocol that standardized preoperative education, testing, and treatment of elevated blood glucose (BG) safely improved perioperative glycemic control. Preoperative average BG improved from 191 to 155mg/dL (P=.016); postoperative average BG decreased from 189 to 168mg/dL (P=.094). The percentage of patients presenting with BG greater than 180mg/dL preoperatively and achieving BG less than 180mg/DL postoperatively increased from 21% to 43% (P = .09). Even though some results were statistically non-significant, the data showed a trend toward improvement with the new protocol. Good perioperative glycemic control, without an increased risk of hypoglycemia, is achievable.
Authors:
Nancy Michaelian; Renu Joshi; Ed Gillman; Ronald Kratz; Amy Helmuth; Karen Zimmerman; Denise Klahre; Sandy Warner; Vickie McBride; M Judy Bailey; Linda Houseal
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses / American Society of PeriAnesthesia Nurses     Volume:  26     ISSN:  1532-8473     ISO Abbreviation:  J. Perianesth. Nurs.     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-08-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9610507     Medline TA:  J Perianesth Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  242-51     Citation Subset:  N    
Copyright Information:
Copyright © 2011 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.
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