CLINICAL ASPECTS OF GLYCEMIC MONITORING AND CONTOL IN PATIENTS IN THE EARLY POSTOPERATIVE PERIOD

Area of Science:

• Intensive Care Medicine
• Endocrinology
• Surgical Critical Care

Background:

• Glycemic control is crucial for ICU patients, especially after major surgery.
• Disruptions in blood glucose balance negatively impact treatment outcomes.
• Computer algorithms are being developed to optimize insulin dosing.

Purpose of the Study:

• To evaluate the efficacy and safety of the Space Glucose Control (SGC) module.
• To assess intravenous insulin therapy using the SGC module in patients undergoing thoracoabdominal surgery.

Main Methods:

• A single-center prospective observational study.
• Involved 50 ICU patients in the early postoperative period after thoracoabdominal surgery.
• Utilized the SGC module for continuous glucose monitoring and insulin management.

Main Results:

• SGC module monitoring averaged 57 hours (range: 17-280 hours).
• Patients achieved target glycemic ranges for 80.4% of the monitoring time.
• Average capillary blood glucose was 7.6 ± 1.58 mmol/l, with a 2% incidence of severe hypoglycemia.

Conclusions:

• The SGC module is beneficial for patients post-extensive thoracoabdominal surgery.
• It is particularly useful in managing postoperative hyperglycemia.
• The module offers a safe and effective approach to glycemic control in this patient population.