Glycemic control: a literature review with implications for perioperative nursing practice.
Surgical patients have an increased risk for hyperglycemia and its subsequent complications, such as increased risk of infection, morbidity and mortality, and length of stay. Interventional studies indicate that tight glycemic control with intensive insulin therapy improves outcomes. More recent randomized controlled trials, however, provide conflicting results, indicating that hypoglycemia and death may result from tight glycemic control. This calls into question the safety and efficacy of tight glycemic control. Perioperative nurses must be prepared to implement measures to control hyperglycemic for patients with and without diabetes throughout the perioperative process. Perioperative nurses should participate in multidisciplinary efforts to develop evidenced-based glycemic control protocols.
Kittelson
Kristina
K
St Mary's Hosptial, Grand Junction, CO, USA.
D006801:Humans; D006943:Hyperglycemia / Q000517:prevention & control*; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D019990:Perioperative Care / Q000379:methods; D013527:Perioperative Nursing; D019984:Quality Indicators, Health Care
D007004:Hypoglycemic Agents