• Clinical Evidence

Linking Hypothermia and Hyperglycemia

Setting: 571-bed acute care hospital (named among Top 100 cardiovascular hospitals in U.S.).

Objective

This case study examines the impact of using a computer-guided glucose management software system (EndoTool) for post-cardiac arrest patients undergoing induced hypothermia, a therapy with known risks of decreased insulin secretion and insulin sensitivity.

Setting

571-bed acute care hospital (named among Top 100 cardiovascular hospitals in U.S.).

Results

  • With traditional paper protocols, intravenous insulin titration required complex manual calculations and overall glucose control was inadequate, often including hyperglycemia followed by hypoglycemia.
  • With EndoTool, calculations for intravenous insulin titration were made by the system, nurses noted that glucose levels were quickly controlled, and there were no hypoglycemia events.

Conclusions

Use of a computer-guided glucose management software system (EndoTool) for intravenous insulin titration delivers demonstrably better outcomes than traditional paper protocols for patients undergoing induced hypothermia.
Objective

This case study examines the impact of using a computer-guided glucose management software system (EndoTool) for post-cardiac arrest patients undergoing induced hypothermia, a therapy with known risks of decreased insulin secretion and insulin sensitivity.

Setting

571-bed acute care hospital (named among Top 100 cardiovascular hospitals in U.S.).

Results
  • With traditional paper protocols, intravenous insulin titration required complex manual calculations and overall glucose control was inadequate, often including hyperglycemia followed by hypoglycemia.
  • With EndoTool, calculations for intravenous insulin titration were made by the system, nurses noted that glucose levels were quickly controlled, and there were no hypoglycemia events.
Conclusions

Use of a computer-guided glucose management software system (EndoTool) for intravenous insulin titration delivers demonstrably better outcomes than traditional paper protocols for patients undergoing induced hypothermia.

References

Authors

Tracey Melhuish, RN, MSN.

Source

Published in Nursing Management, Volume 40, Issue 12, p42-45.

Year

2009

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Objective
Setting
Results
Conclusions
References
Objective

This case study examines the impact of using a computer-guided glucose management software system (EndoTool) for post-cardiac arrest patients undergoing induced hypothermia, a therapy with known risks of decreased insulin secretion and insulin sensitivity.

Setting

571-bed acute care hospital (named among Top 100 cardiovascular hospitals in U.S.).

Results
  • With traditional paper protocols, intravenous insulin titration required complex manual calculations and overall glucose control was inadequate, often including hyperglycemia followed by hypoglycemia.
  • With EndoTool, calculations for intravenous insulin titration were made by the system, nurses noted that glucose levels were quickly controlled, and there were no hypoglycemia events.
Conclusions

Use of a computer-guided glucose management software system (EndoTool) for intravenous insulin titration delivers demonstrably better outcomes than traditional paper protocols for patients undergoing induced hypothermia.

References

Authors

Tracey Melhuish, RN, MSN.

Source

Published in Nursing Management, Volume 40, Issue 12, p42-45.

Year

2009

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