[HSF] Relationship between Vascular Surgery and Cardiac Surgery

[Tea Acuff]

Tony ?

People are starting to jump on (or perhaps off) your tautology.

tea



----- Original Message ----
From: gabi ford <gabiford at hotmail.com>
To: openheart-l at lists.hsforum.com
Sent: Monday, March 31, 2008 8:39:07 AM
Subject: RE: [HSF] Relationship between Vascular Surgery and Cardiac Surgery


From: Hgrmd at aol.com> I also question if there has been an uptick in hypoglycemic injury since > tight controls were instituted. Just because we haven't read about it doesn't > mean it's not happening. We all have encountered very brittle diabetics in > which wild swings in the glucose can and do occur.

Hal,

Two years ago the intensivists ran around making sure everyone with two elevated glucose readings was on an insulin drip.
Nowadays the same doctors are running around taking patients *off* inappropriate insulin drips.
The wave, you know.  

Sometimes I'm pretty sure that pricking the patient's finger every hour all night long is enough to raise his stress and glucose levels to ensure he "needs" a unit an hour IV.  ;)
Also, when patients get insulin infusions, we must ensure they have a source of glucose, which can mean that they now get D5W so they can have an insulin drip.  
I look forward when we have a more reasonable and sensible approach to glucose control in place.  :)

Gabi_______________________________________________
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