Insulin Infusion Protocols for Blood Glucose Management in Critically Ill Patients: A Scoping Review

作者全名："Huang, Miao; Yang, Ruiqi; Pang, Dong; Gan, Xiuni"

作者地址："[Huang, Miao; Gan, Xiuni] Chongqing Med Univ, Affiliated Hosp 2, Dept Nursing, Chongqing, Peoples R China; [Huang, Miao] Chongqing Med Univ, Sch Nursing, Chongqing, Peoples R China; [Yang, Ruiqi] Chongqing Med Univ, Affiliated Hosp 2, Chongqing, Peoples R China; [Pang, Dong] Peking Univ, Peking Univ Hlth Sci Ctr Evidence Based Nursing, Sch Nursing, Beijing, Peoples R China; [Gan, Xiuni] Chongqing Med Univ, Affiliated Hosp 2, Dept Nursing, 288,Tianwen Ave, Chongqing 400072, Peoples R China"

通信作者："Gan, XN (通讯作者)，Chongqing Med Univ, Affiliated Hosp 2, Dept Nursing, 288,Tianwen Ave, Chongqing 400072, Peoples R China."

来源：CRITICAL CARE NURSE

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001198945200002

JCR分区：Q3

影响因子：1.6

年份：2024

卷号：44

期号：1

开始页：21

结束页：32

文献类型：Review

关键词：　

摘要："BACKGROUND Continuous insulin infusion is a method for maintaining blood glucose stability in critically ill patients with hyperglycemia. Many insulin infusion protocols have been applied in intensive care units. Understanding the content of these protocols can help clinical staff choose the most appropriate and convenient protocol and promote best practices in managing glucose levels in critically ill adult patients. OBJECTIVE To examine the types of insulin infusion therapies performed for blood glucose management in critically ill patients. METHODS For this scoping review, 3 Chinese-language and 8 English-language databases were searched for articles published from May 25, 2016, to October 25, 2022. RESULTS Twenty-one articles met the inclusion criteria. Twenty-one insulin infusion protocols were examined. Most of the insulin infusion protocols were paper protocols. Fourteen glucose management indicators were included in the 21 protocols. The glucose target range for all 21 protocols ranged from 70 to 180 mg/dL (3.9-10.0 mmol/L). Nurses were primarily responsible for protocol implementation in most protocol development processes. The roles of nurses differed in nurse-led insulin infusion protocols and non-nurse-led insulin infusion protocols. DISCUSSION This scoping review indicates an urgent need for more comprehensive glycemic control guidelines for patients receiving critical care. Because insulin infusion protocols are core aspects of blood glucose management guidelines, different population subgroups should also be considered. CONCLUSIONS Nurse-led guidelines must be based on the best available evidence and should include other variables related to glucose management (eg, patient disease type, medication, and nutrition) in addition to insulin infusion. (Critical Care Nurse. 2024;44[1]:21-32)"

基金机构：Special Research Foundation for Evidence -Based Nursing of Peking University [XZSR-2022-09]

基金资助正文：Financial Disclosures This project was funded by the Special Research Foundation for Evidence -Based Nursing of Peking University (XZSR-2022-09) .