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Báo cáo y học: "Is there more to glycaemic control than meets the eye"

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: Is there more to glycaemic control than meets the eye? | Available online http ccforum.eom content 11 4 160 Commentary Is there more to glycaemic control than meets the eye J Geoffrey Chase1 and Geoffrey M Shaw2 1 Department of Mechanical Engineering Centre for Bio-Engineering University of Canterbury Private Bag 4800 Christchurch New Zealand 2Department of Intensive Care Medicine Christchurch Hospital and University of Otago School of Medicine - Christchurch Private Bag 4710 Christchurch New Zealand Corresponding author J Geoffrey Chase geoff.chase@canterbury.ac.nz Published 30 August 2007 This article is online at http ccforum.com content 11 4 160 2007 BioMed Central Ltd Critical Care 2007 11 160 doi 10.1186 cc6099 See related research by Shulman et al. http ccforum.com content 11 4 R75 Abstract Tight glycaemic control has emerged as a major focus in critical care. However the struggle to repeat improve and standardize the results of the initial landmark studies is ongoing. The prospective computerized glycaemic control study by Shulman et al. highlights two emerging and often overlooked aspects of intensive insulin therapy protocols beyond simple glycaemic performance. First the clinical ergonomics and ability to integrate into the critical care unit workflow must be considered as they may impact results and definitely affect uptake. Second the real lessons of any protocol s performance are likely to be best realized by comparison with other results a task that is very difficult without a consensus method of reporting that allows such comparisons across studies. Embracing these issues will take the field closer to accepted repeatable approaches to tight glycaemic control. That tight glycaemic control in critical care saves lives is increasingly less questioned. In contrast the how and for whom remains quite elusive. In this journal Shulman et al. 1 report the results of another prospective glycaemic control study utilizing a computerized protocol to implement a relatively complex protocol. Tight control has been of .