tailieunhanh - Báo cáo y học: "Health technology assessment review: Computerized glucose regulation in the intensive care unit - how to create artificial control"

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: Health technology assessment review: Computerized glucose regulation in the intensive care unit - how to create artificial control. | Available online http content 13 5 223 Review Health technology assessment review Computerized glucose regulation in the intensive care unit - how to create artificial control Miriam Hoekstra1 Mathijs Vogelzang2 3 Evgeny Verbitskiy4 5 and Maarten WN Nijsten6 1 Departments of Anesthesiology and Cardiology University Medical Center Groningen 9700 RB Groningen the Netherlands 2Department of Cardiology University Medical Center Groningen 9700 RB Groningen the Netherlands 3Google CH-8002 Zurich Switzerland 4Department of Dynamical Systems and Mathematical Physics Research Institute for Mathematics and Computing Science University of Groningen 9700 AK Groningen the Netherlands information and System Security Philips Research 5621 BA Eindhoven the Netherlands 6Department of Intensive Care University Medical Center Groningen 9700 RB Groningen the Netherlands Corresponding author Miriam Hoekstra Published 16 October 2009 This article is online at http content 13 5 223 2009 BioMed Central Ltd Critical Care 2009 13 223 doi cc8023 Abstract Current care guidelines recommend glucose control GC in critically ill patients. To achieve GC many ICUs have implemented a nurse-based protocol on paper. However such protocols are often complex time-consuming and can cause iatrogenic hypoglycaemia. Computerized glucose regulation protocols may improve patient safety efficiency and nurse compliance. Such computerized clinical decision support systems CDSSs use more complex logic to provide an insulin infusion rate based on previous blood glucose levels and other parameters. A computerized CDSS for glucose control has the potential to reduce overall workload reduce the chance of human cognitive failure and improve glucose control. Several computer-assisted glucose regulation programs have been published recently. In order of increasing complexity the three main types of algorithms used are computerized flowcharts .