Volume 143, Issue 5, Pages (May 2013)

Slides:

Advertisements

Similar presentations

Volume 151, Issue 6, Pages (June 2017)

Advertisements

Nasal Mask Ventilation in Acute Respiratory Failure

Noninvasive Nasal Mask Ventilation for Acute Respiratory Failure

Tell-tale Telangiectasias

Volume 100, Issue 5, Pages (November 1991)

Colloquium on Therapy of Right Heart Failure

The Research Agenda in ICU Telemedicine

Volume 77, Issue 5, Pages (May 1980)

Volume 146, Issue 5, Pages (November 2014)

Aortic Root Replacement in a Patient With Vancomycin-Resistant Enterococcus faecium Endocarditis and Leukemia Igor E. Konstantinov, MD, Kenton J. Zehr,

Tight Blood Glucose Control With Insulin in the ICU

When to Be Rash About a Fever and Headache

Volume 123, Issue 6, Pages (June 2003)

Wan-Jie Gu, MSc, Chun-Yin Wei, MSc, Rui-Xing Yin, MD, PhD CHEST

Robert Pickering, M.D, Fernando J. Martinez, M.D CHEST

A National ICU Telemedicine Survey

Hyperbaric Oxygenation in Cardiac and Pulmonary Disease

Chronic Tracheopathia Osteoplastica

Volume 127, Issue 6, Pages (June 2005)

Air Pollution and Chest Disease

Rheumatic Heart Disease in East Pakistan

Navin K. Jain, MD, Thiam H. Lie, MD, FCCP CHEST

Outcomes of Nurse Practitioner-Delivered Critical Care

Clinical and Personality Profiles and Survival in Patients With COPD

Fever, Skin Eruption, Low Serum Gammaglobulin in a Child with Leukemia

Valve Drainage of the Pleural Cavity

Advance Directive Education During Pulmonary Rehabilitation

Frank W. Ewald, MD, FCCP, Albert H. Scherff, MD CHEST

Prevalence of Pulmonary Embolism in Acute Exacerbations of COPD

The Lung Cancer Stage Page

COUNTERPOINT: Is the Apnea-Hypopnea Index the Best Way to Quantify the Severity of Sleep-Disordered Breathing? No Naresh M. Punjabi, MD, PhD, FCCP CHEST

Volume 124, Issue 6, Pages (December 2003)

Flow Volume Loop CHEST Volume 97, Issue 5, Pages (May 1990)

Acute Pulmonary Exacerbations of Sarcoidosis

Spread the Word About CHEST in 2018

Probiotics for Prevention of Ventilator-Associated Pneumonia: Response

Counterpoint: Adherence to Early Goal-Directed Therapy

Airway Stenting for Patients With Benign Airway Disease and the Food and Drug Administration Advisory Lund Mark E. , MD, FCCP, Force Seth , MD, FCCP

Decortication after 35 Years

Sleep Apnea, Hypothyroidism and Pulmonary Edema

PEEP, Auto-PEEP, and Waterfalls

Counterpoint: Should All ICU Patients Receive Continuous Sedation? No

New CHEST Associate Editors Named

Imaging for the Management of Community-Acquired Pneumonia

Dr Arnold M. Schwartz, MD, PhD, Dr Donald E. Henson, MD CHEST

Point: Should We Abandon FEV1/FVC <0

Spread the Word About CHEST in 2015

Volume 97, Issue 1, Pages (January 1990)

Augusto Miyashiro, M.D., Soul J. Grosberg, M.D., Simon Wapnick, M.D.

Volume 138, Issue 4, Pages (October 2010)

Evolution in Reimbursement for Sleep Studies and Sleep Centers

Bedside Calibration Of Pulmonary Artery Catheters

Traumatic Diaphragmatic Hernia Presenting as a Chest Wall Mass

Invasive Pulmonary Aspergillosis

Pulmonary Manifestations in a Case of Multiple Myeloma

John-Michael Gamble, BScPharm, MSc, Dean T. Eurich, PhD, Thomas J

Cardiogenic Shock due to Right Ventricular Infarction

Mc Grath Gregory , MD, Das-Gupta Mike , MD, Clarke Geoffrey , MD CHEST

Volume 42, Issue 2, Pages (August 1962)

Calcification of the Coronary Artery

John M. Yackee, M.D., Reed M. Shnider, M.D., Alan G. Wasserman, M.D.

Volume 135, Issue 3, Pages (March 2009)

Counterpoint: Should Medicare Allow Respiratory Therapists to Independently Practice and Bill for Educational Activities Related to COPD? No Katherine.

Use of Endobronchial Ultrasound for Bedside Diagnosis of Acute Pulmonary Embolism in a Critically Ill Patient Colleen L. Channick, MD, FCCP, Richard.

New Members of the Editorial Board

Rebuttal From Dr Kollef

John Reid, MD, Donald Cockcroft, MD CHEST

Encroachment Upon the Lungs of Large Chronic Pericardial Effusion

Tetracycline Pleurodesis-Associated Acute Renal Failure

Lung Volume Reduction Surgery in the United States From 2007 to 2013

Presentation transcript:

Volume 143, Issue 5, Pages 1226-1234 (May 2013) Moderate Glucose Control Is Associated With Increased Mortality Compared With Tight Glucose Control in Critically Ill Patients Without Diabetes Michael J. Lanspa, MD, Eliotte L. Hirshberg, MD, Gregory D. Phillips, BA, John Holmen, PhD, Gregory Stoddard, MS, James Orme, MD, FCCP CHEST Volume 143, Issue 5, Pages 1226-1234 (May 2013) DOI: 10.1378/chest.12-2072 Copyright © 2013 The American College of Chest Physicians Terms and Conditions

Figure 1 eProtocol-insulin algorithm. CHEST 2013 143, 1226-1234DOI: (10.1378/chest.12-2072) Copyright © 2013 The American College of Chest Physicians Terms and Conditions

Figure 2 Selection of glucose targets in eProtocol-insulin throughout the Intermountain Healthcare ICUs from November 2006 to March 2011. CHEST 2013 143, 1226-1234DOI: (10.1378/chest.12-2072) Copyright © 2013 The American College of Chest Physicians Terms and Conditions

Figure 3 Database query method. Apache II = Acute Physiology and Chronic Health Evaluation II. CHEST 2013 143, 1226-1234DOI: (10.1378/chest.12-2072) Copyright © 2013 The American College of Chest Physicians Terms and Conditions

Figure 4 Incidence of moderate hypoglycemia while on eProtocol-insulin, stratified by target glucose. Days on protocol was independently associated with incidence of hypoglycemia in both glucose target groups (P < .01). CHEST 2013 143, 1226-1234DOI: (10.1378/chest.12-2072) Copyright © 2013 The American College of Chest Physicians Terms and Conditions

Figure 5 Cox failure curve for mortality in patients without diabetes. A, Patients without diabetes were more likely to die if they received 90 to 140 mg/dL (dashed line); P = .05. B, Patients with diabetes were more likely to die if they received 80 to 110 mg/dL (solid line); P = .01. CHEST 2013 143, 1226-1234DOI: (10.1378/chest.12-2072) Copyright © 2013 The American College of Chest Physicians Terms and Conditions