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Updated: Jul 15, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Safety of a postoperative beta-blocker infusion protocol for nonmonitored units in a community hospital
Ida Zarraga1, Stephen Atlas, John Drury
1Department of Medicine, Hospital of Saint Raphael, 1450 Chapel Street, New Haven, CT 06511, USA.
Objective:
To assess the safety of a novel metoprolol infusion protocol implemented on patient care units without cardiac monitoring.
Design:
Retrospective chart review.
Setting:
511-bed community teaching hospital.
Patients:
100 high cardiac-risk patients undergoing 103 noncardiac surgeries who received 354 infusions.
Intervention:
5, 7.5, or 10 mg of metoprolol infused over two hours.
Measurements:
Infusion dosage and timing, vital signs and adverse events.
Results:
A significant decrease in heart rate was demonstrated without any significant adverse events.
Conclusion:
Our novel metoprolol infusion protocol was safe on nonmonitored units.
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