Nutritional, Metabolic, Endocrine Glucose control in critically ill trauma patients
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1)critically ill trauma patients requiring ICU admission 2) no threshold serum glucose necessary for inclusion; insulin infusion to be commenced on admission 3) non-diabetics only 4) anticipated length of stay of at least 24 hours 5) intravenous insulin administration via peripheral or central line 6) arterial line for blood sampling
Exclusion criteria
Exclusion criteria: 1) patient or family refusal 2) pregnancy 3) burns 4) traumatic brain injury with GCS <8 5) moribund with likely demise within 24 hours 6) Diabetics, DKA or hyperosmolar state 7) renal dysfunction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| average serum glucose variability | — |
Secondary
| Measure | Time frame |
|---|---|
| average time spent within target serum glucose range;overall mean serum glucose levels;time spent above target range;serum glucose sampling interval | — |
Countries
South Africa
Contacts
Registrar, Anaesthesia