A retrospective audit of insulin infusion management involving a locally developed dynamic insulin infusion guideline in a tertiary ICU.pdf.pdf

G Model

-251; No. of Pages 11 ARTICLE IN PRESS

Australian Critical Care xxx (2014) xxx–xxx

Contents lists available at ScienceDirect

Australian Critical Care

j ournal homepage: ate/
Research paper

A retrospective audit of insulin infusion management involving a

locally developed dynamic insulin infusion guideline in a tertiary ICU
a,∗

Jeff Breeding RN, MN, Grad Dip Crit Care, Grad Dip Ed ,
b,c

Susan Welch , Certif Pharm Prac ,
a


Hergen Buscher Intensive Care Specialist ,
a

Priya Nair Intensive Care Specialist ,
a

Carmen Frost RN, B Soc Sci, Grad Dip Clin Ed ,
a

Sally Newman RN ,
a



Susan Whittam RN, Dip HS (Nurs), Grad Cert Crit Care
a

Intensive Care Unit, St Vincent’s Hospital, 390 Victoria St, Darlinghurst, NSW 2010, Australia
b

Pharmacy Department, St Vincent’s Hospital, 390 Victoria St, Darlinghurst, NSW 2010, Australia
c

Faculty of Pharmacy, University of Sydney, Sydney, Australia

a r t i c l e i n f o r m a t i o n a b s t r a c t


Article history: Background: The ideal target blood glucose range for intensive care patients on insulin infusions is con-


Received 29 November 2013

troversial. Avoidance of hyperglycaemia and hypoglycaemia are well supported goals.

Received in revised form 18 June 2014

Methods: An audit of insulin infusion management was conducted following the institution of an insulin

Accepted 1 July 2014

infusion guideline in a tertiary adult intensive care unit (ICU). The primary aim was to evaluate this

Available online xxx

guideline for safety and efficacy. Secondary aims were pare es such as ICU and hospital

mortality, rate of severe hypoglycaemia, length of time within target zones, length of stay in ICU and hos-
Keywords:

pital, ventilator hours and use of renal replacement therapy. Data analysis involved descriptive statistical
Insulin

Infusion techniques to parison wit