Efficacy of insulin infusion protocol in blood glucose control after cardiac surgery. Insulin, Infusion, Post cardiac surgery, Intensive care
Conditions
Interventions
After finishing cardiac surgery, the patient will be transferred to the ICU. Blood glucose is checked via blood drawn from arterial line. The patient will received continuous insulin infusion. Insuli
s insulin infusion protocol which is reported by Olansky et al (Journal of Diabetes Science and Technology 2009). The protocol is a computerized model that ICU nurses can practice according to easily
s order
3.Serum elec
Experimental Other,Active Comparator Other
Paper-based insulin adjustment protocol ,Insulin adjustment per surgeon'
s order
Sponsors
Faculty of medicine, Naresuan University Hospital
Eligibility
Sex/Gender
All
Age
20 Years to 90 Years
Inclusion criteria
Inclusion criteria: 1. Patients undergoing elective open-cardiac surgery with cardiopulmonary bypass and 2. Age 20-90 years and 3. Established diagnosis of diabetes mellitus type2
Exclusion criteria
Exclusion criteria: Patients who underwent closed cardiac surgery Patients undergoing emergency surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Efficacy of insulin protocol 0-72 hours after cardiac surgery Percentage of time blood glucose level remaining within target range | — |
Secondary
| Measure | Time frame |
|---|---|
| Safety and feasibility of insulin protocol 0-72 hours after cardiac surgery 1. Time to target of glucose less than 150 mg/dL 2. Glycemic variability 3.Numbers of hypo/hyperkalemic events 4.Numbers of protocol violation by ICU nurse | — |
Countries
Thailand
Contacts
Public ContactNisit Poolthananant
Faculty of medicine, Naresuan University Hospital
Outcome results
None listed