Acute Hyperglycemic Emergencies

Acute Hyperglycemic Emergencies

As diabetes prevalence increases in the US, critical care nurses need to be familiar with the acute hyperglycemic emergencies they may encounter in the ED or ICU. This article focuses on the diagnosis of, various treatments... read more

Incident Diabetes in Survivors of Critical Illness and Mechanisms Underlying Persistent Glucose Intolerance

Incident Diabetes in Survivors of Critical Illness and Mechanisms Underlying Persistent Glucose Intolerance

Diabetes and pre-diabetes occur frequently in survivors of ICU experiencing stress hyperglycemia. Based on the occurrence rate observed in this cohort, structured screening and intervention programs appear warranted. Consent... read more

ICU Admissions Raise Chronic Condition Risk

ICU Admissions Raise Chronic Condition Risk

A new study of ICU patients in the Netherlands shows a heightened risk of developing new chronic conditions in patients after an intensive care stay. The research showed rising likelihood of conditions such as depression,... read more

Identifying associations between diabetes and ARDS in patients with AHRF

Identifying associations between diabetes and ARDS in patients with AHRF

Diabetes mellitus is a common co-existing disease in the critically ill. Diabetes mellitus may reduce the risk of acute respiratory distress syndrome (ARDS), but data from previous studies are conflicting. The objective of... read more

Dutch Ambitions on eHealth

Dutch Ambitions on eHealth

Dutch government is encouraging the healthcare sector to expand telehealth (eHealth) services. Dutch government wants eHealth to become more widely available and is encouraging the healthcare sector to develop it further.... read more

Resetting the Circadian Clock Might Boost Metabolic Health

Resetting the Circadian Clock Might Boost Metabolic Health

This Medical News feature discusses the role of circadian clock in regulating metabolism. Over the past 20 years, scientists have assembled a clearer picture of the circadian clocks that keep human physiology tuned to the... read more

Liberal Glycemic Control in Critically Ill Patients With Type 2 Diabetes

Ludwig Lin, MD, speaks with Palash Kar, MBBS, about the article, "Liberal Glycemic Control in Critically Ill Patients With Type 2 Diabetes: An Exploratory Study," published in Critical Care Medicine. In this article, Dr.... read more

IV Fluids and Solutions Quick Reference Guide Cheat Sheet

IV Fluids and Solutions Quick Reference Guide Cheat Sheet

Intravenous solutions are used in fluid replacement therapy by changing the composition of the serum by adding fluids and electrolytes. Quick reference guide on the different intravenous solutions.... read more

Hospitalist Tackles Chronic Disease With Food Pharmacies

Hospitalist Tackles Chronic Disease With Food Pharmacies

Before January 2017, Rita Nguyen, MD, was "pretty much like any other academic hospitalist," she says. In the hospital, she could provide excellent care to patients, but once they were discharged, many didn't have the necessary... read more

We Need to Talk About Trauma

One of the most haunting images from my time as a junior doctor working in Hackney in the mid-1990s was in an A&E (emergency) department while we tried to resuscitate a man in his 40s. In the corner of the room stood two... read more

Diabetes Risks and Outcomes in COPD Patients

Diabetes Risks and Outcomes in COPD Patients

The relationship between chronic obstructive pulmonary disease (COPD) and diabetes remains incompletely understood. This study evaluated diabetes risk and post-diabetes outcomes in COPD patients with and without exacerbations.... read more

A simple algorithm for the identification of clinical COPD phenotypes

A simple algorithm for the identification of clinical COPD phenotypes

This study aimed to identify simple rules for allocating chronic obstructive pulmonary disease (COPD) patients to clinical phenotypes identified by cluster analyses.Data from 2409 COPD patients of French/Belgian COPD cohorts... read more

Risk of AKI After Intravenous Contrast Media Administration

Risk of AKI After Intravenous Contrast Media Administration

In the largest well-controlled study of acute kidney injury (AKI) following contrast administration in the ED to date, intravenous contrast was not associated with an increased frequency of acute kidney injury. Rates of acute... read more

A comparison of two insulin infusion protocols in the ICU by continuous glucose monitoring

A comparison of two insulin infusion protocols in the ICU by continuous glucose monitoring

The Yale protocol provided better average glycemia, more time spent in normoglycemia, less time in hypoglycemia, and less glycemic variability than the Leuven protocol, but was not independently associated with strict glycemic... read more

Performance of a Modern Glucose Meter in ICU

Performance of a Modern Glucose Meter in ICU

Performance of a Modern Glucose Meter in ICU and General Hospital Inpatients: 3 Years of Real-World Paired Meter and Central Laboratory Results. Due to accuracy concerns, the Food and Drug Administration issued guidance to... read more

Airway Management of The Morbidly Obese Patient

Airway Management of The Morbidly Obese Patient

Obesity is a major health care dilemma. All aspects of medical care, including anesthesia, are affected by it. All physiologic systems are altered by obesity, which imparts a higher risk for complications in the perioperative... read more

Hyperglycaemia in Critically Ill Patients

Hyperglycaemia in Critically Ill Patients

There is an ongoing debate regarding the efficacy of glycaemic control in critically ill patients. Here we briefly highlight the key function of elevated glucose in critically ill patients, namely, to enable elevation of... read more