Has tight glycemic control been examined in pediatric populations, particularly after neonatal and infant congenital heart surgery?
A. We use tight glycemic control in our pediatric cardiac surgery population. Outcomes changes have not yet been found to be significant. However, we feel control is important. We believe it is being used extensively in pediatric ICUs and is definitely used in neonatal ICUs. We do not have a specific protocol that is different for pediatric patients; others might. 4. Regarding the biochemical mechanisms of action related to clinical outcomes. I would like to get a clear picture of what is happening to the body and why glucose gets out of control. I have tried to explain that the stresses on the body from these procedures are affecting the glucose values and they should not be used to diagnose the patient as diabetic, but used as part of the glycemic protocol until such a time that the patient gets back in control or until discharged, when proper testing for diabetes should be performed. A. Stress hyperglycemia is real. The situation usually only exists for the first 24-72 hours post-su
- Is there any reason a patient wouldn be eligible for the tight glycemic control protocol? Is there a checklist that you use for determining eligibility?
- Could you point to any peer-reviewed clinical guidelines that incorporate tight glycemic control in the ICU?
- What are the origins of tight glycemic control protocols?