Continuous glucose control in the ICU: report of a 2013 round table meeting
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- 作者：Jan Wernerman (1)
Thomas Desaive (2)
Simon Finfer (3)
Luc Foubert (4)
Anthony Furnary (5)
Ulrike Holzinger (6)
Roman Hovorka (7)
Jeffrey Joseph (8)
Mikhail Kosiborod (9)
James Krinsley (10)
Dieter Mesotten (11)
Stanley Nasraway (12)
Olav Rooyackers (13)
Marcus J Schultz (14)
Tom Van Herpe (15) (16)
Robert A Vigersky (17)
Jean-Charles Preiser (18)
1. Department of Anesthesiology and Intensive Care Medicine ; K32 ; Karolinska University Hospital ; Stockholm ; Huddinge ; 14186 ; Sweden
2. GIGA - Cardiovascular Sciences ; University of Liege ; Institute of Physics ; B5 ; Allee du 6 aout ; 17 ; Liege ; 4000 ; Belgium
3. The George Institute for Global Health and Royal North Shore Hospital ; University of Sydney ; St Leonards ; Sydney ; NSW ; 2065 ; Australia
4. Department of Anesthesia and Intensive Care Medicine ; OLV Clinic ; Aalst ; 9300 ; Belgium
5. Starr-Wood Cardiac Group ; 9155 SW Barnes Road ; Portland ; OR ; 97225-6629 ; USA
6. Department of Medicine III - Division of Gastroenterology and Hepatology ; Medical University of Vienna ; Waehringer Guertel 18-20 ; Vienna ; 1090 ; Austria
7. Level 4 ; Wellcome trust MRC Institute of Metabolic Science ; Addenbrooke鈥檚 Hospital ; University of Cambridge Metabolic Research Laboratories ; Box 289 ; Hills Road ; Cambridge ; CB2 0QQ ; UK
8. Jefferson Artificial Pancreas Center and Anesthesiology Program for Translational Research ; Department of Anesthesiology ; Jefferson Medical College of Thomas Jefferson University ; 1020 Walnut Street ; Philadelphia ; PA ; 19107 ; USA
9. Saint-Luke鈥檚 Mid America Heart Institute ; University of Missouri - Kansas City ; 4401 Wornall Road ; Kansas City ; MO ; 64111 ; USA
10. Division of Critical Care ; Stamford Hospital and Columbia University College of Physicians and Surgeons ; 30 Shelburne Road ; Stamford ; CT ; 06904 ; USA
11. Department of Intensive Care Medicine ; University Hospitals Leuven ; Herestraat 49 ; Leuven ; B-3000 ; Belgium
12. Surgical Intensive Care Units ; Tufts Medical Center ; 800 Washington Street ; NEMC 4360 ; Boston ; MA ; 02111 ; USA
13. Anesthesiology and Intensive Care Clinic ; Karolinska Institute and University Hospital ; Huddinge ; 14186 ; Sweden
14. Department of Intensive Care Medicine ; Academic Medical Center at the University of Amsterdam ; Meibergdreef 9 ; Amsterdam ; 1105 AZ ; The Netherlands
15. Department of Intensive Care Medicine ; University Hospitals Leuven ; Herestraat 49 ; Leuven ; B-3000 ; Belgium
16. Department of Electrical Engineering (STADIUS) - iMinds Future Health Department ; Katholieke Universiteit Leuven ; Leuven ; Heverlee ; B-3001 ; Belgium
17. Diabetes Institute ; Walter Reed National Military Medical Center ; Bethesda ; MD ; 20895 ; USA
18. Department of Intensive Care ; Erasme Hospital ; Universit茅 libre de Bruxelles ; 808 route de Lennik ; Brussels ; 1070 ; Belgium - 刊名：Critical Care
- 出版年：2014
- 出版时间：June 2014
- 年：2014
- 卷：18
- 期：3
- 全文大小：374 KB
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- 出版者：BioMed Central
- ISSN：1364-8535
文摘
Achieving adequate glucose control in critically ill patients is a complex but important part of optimal patient management. Until relatively recently, intermittent measurements of blood glucose have been the only means of monitoring blood glucose levels. With growing interest in the possible beneficial effects of continuous over intermittent monitoring and the development of several continuous glucose monitoring (CGM) systems, a round table conference was convened to discuss and, where possible, reach consensus on the various aspects related to glucose monitoring and management using these systems. In this report, we discuss the advantages and limitations of the different types of devices available, the potential advantages of continuous over intermittent testing, the relative importance of trend and point accuracy, the standards necessary for reporting results in clinical trials and for recognition by official bodies, and the changes that may be needed in current glucose management protocols as a result of a move towards increased use of CGM. We close with a list of the research priorities in this field, which will be necessary if CGM is to become a routine part of daily practice in the management of critically ill patients.