"Hyperglycaemia is often present in patients admitted to intensive care units. It is associated with significantly increased mortality and morbidity, mainly in patients who did not have diabetes mellitus before hospitalisation. According to many clinical studies, correcting hyperglycaemia leads to an improved prognosis for critically ill patients. Going by the latest recommendations, the glycaemia limits for critically ill patients should be between 7 and 10 mmol/l, with the exception of cardiologic patients, who may benefit from a tighter control of glycaemia levels. There are various protocols in use for application of insulin doses by a nurse, for the purpose of blood sugar control in critically ill patients. Apart from the classical paper protocols there is already good experience with protocols based on mathematical or predictive models. The application of the predictive model leads to better control of blood sugar in the selected limits, with lower incidence of hypoglycaemic episodes and lower variability of the measured glycaemia. In near future, development of a fully automated system can be expected, with the help of which glycaemia will be continuously monitored by a sensor in the device and the dose of insulin will be changed"@en . "V\u00FDznam hyperglyk\u00E9mie u kriticky nemocn\u00FDch a syst\u00E9my jej\u00ED kontroly"@cs . . . "I" . . "1212-4184" . "V\u00FDznam hyperglyk\u00E9mie u kriticky nemocn\u00FDch a syst\u00E9my jej\u00ED kontroly"@cs . . "180190" . "1"^^ . . . "9" . . "Charv\u00E1t, Ji\u0159\u00ED" . "Significance of hyperglycaemia in critically ill patients and systems for its control"@en . "CZ - \u010Cesk\u00E1 republika" . "http://zdravi.e15.cz/archiv/postgradualni-medicina/covers" . "14" . "Postgradu\u00E1ln\u00ED medic\u00EDna" . . "hyperglycaemia"@en . "4"^^ . "Significance of hyperglycaemia in critically ill patients and systems for its control"@en . . . "RIV/00064203:_____/12:8483!RIV13-MZ0-00064203" . "V\u00FDznam hyperglyk\u00E9mie u kriticky nemocn\u00FDch a syst\u00E9my jej\u00ED kontroly" . . "V\u00FDznam hyperglyk\u00E9mie u kriticky nemocn\u00FDch a syst\u00E9my jej\u00ED kontroly" . "1"^^ . "RIV/00064203:_____/12:8483" . "Hyperglyk\u00E9mie je stav, kter\u00FD je u pacient\u016F p\u0159ij\u00EDman\u00FDch na jednotky intenz\u00EDvn\u00ED p\u00E9\u010De diagnostikov\u00E1n velmi \u010Dasto a je spojen se zna\u010Dn\u011B zv\u00FD\u0161enou morbiditou a mortalitou, zejm\u00E9na u pacient\u016F, kte\u0159\u00ED se p\u0159ed hospitalizac\u00ED nel\u00E9\u010Dili s diabetem. Podle zji\u0161t\u011Bn\u00ED \u0159ady klinick\u00FDch studi\u00ED korekce hyperglyk\u00E9mie zlep\u0161uje progn\u00F3zu u kriticky nemocn\u00FDch pacient\u016F. Nejnov\u011Bj\u0161\u00ED doporu\u010Den\u00ED uv\u00E1d\u011Bj\u00ED limity glyk\u00E9mie u kriticky nemocn\u00FDch pacient\u016F mezi 7 a 10 mmol/l, s v\u00FDjimkou kardiologick\u00FDch pacient\u016F, u kter\u00FDch je vhodn\u00E1 pevn\u011Bj\u0161\u00ED kontrola hladiny cukru v krvi. Pro kontrolu pod\u00E1v\u00E1n\u00ED inzul\u00EDnu zdravotn\u00EDmi sestrami za \u00FA\u010Delem regulace hladiny cukru v krvi u kriticky nemocn\u00FDch pacient\u016F se vyu\u017E\u00EDv\u00E1 \u0159ada protokol\u016F. Krom\u011B klasick\u00FDch pap\u00EDrov\u00FDch protokol\u016F jsou dobr\u00E9 zku\u0161enosti s protokoly zalo\u017Een\u00FDmi na matematick\u00E9m \u010Di prediktivn\u00EDm modelu. Praktick\u00E1 aplikace prediktivn\u00EDho modelu vede k lep\u0161\u00ED kontrole hladiny cukru v krvi ve stanoven\u00FDch limitech, a d\u00E1le tak\u00E9 ke sn\u00ED\u017Een\u00E9mu v\u00FDskytu hypoglykemick\u00FDch epizod a ni\u017E\u0161\u00ED variabilit\u011B nam\u011B\u0159en\u00FDch hodnot cukru v krvi. V bl\u00EDzk\u00E9 budoucnosti je mo\u017Eno o\u010Dek\u00E1vat v\u00FDvoj pln\u011B automatizovan\u00E9ho syst\u00E9mu, s jeho\u017E pomoc\u00ED bude glyk\u00E9mie neust\u00E1le monitorov\u00E1na pomoc\u00ED zabudovan\u00E9ho senzoru, na z\u00E1klad\u011B \u010Deho\u017E budou d\u00E1vky inzul\u00EDnu pravideln\u011B upravov\u00E1ny."@cs . . "Hyperglyk\u00E9mie je stav, kter\u00FD je u pacient\u016F p\u0159ij\u00EDman\u00FDch na jednotky intenz\u00EDvn\u00ED p\u00E9\u010De diagnostikov\u00E1n velmi \u010Dasto a je spojen se zna\u010Dn\u011B zv\u00FD\u0161enou morbiditou a mortalitou, zejm\u00E9na u pacient\u016F, kte\u0159\u00ED se p\u0159ed hospitalizac\u00ED nel\u00E9\u010Dili s diabetem. Podle zji\u0161t\u011Bn\u00ED \u0159ady klinick\u00FDch studi\u00ED korekce hyperglyk\u00E9mie zlep\u0161uje progn\u00F3zu u kriticky nemocn\u00FDch pacient\u016F. Nejnov\u011Bj\u0161\u00ED doporu\u010Den\u00ED uv\u00E1d\u011Bj\u00ED limity glyk\u00E9mie u kriticky nemocn\u00FDch pacient\u016F mezi 7 a 10 mmol/l, s v\u00FDjimkou kardiologick\u00FDch pacient\u016F, u kter\u00FDch je vhodn\u00E1 pevn\u011Bj\u0161\u00ED kontrola hladiny cukru v krvi. Pro kontrolu pod\u00E1v\u00E1n\u00ED inzul\u00EDnu zdravotn\u00EDmi sestrami za \u00FA\u010Delem regulace hladiny cukru v krvi u kriticky nemocn\u00FDch pacient\u016F se vyu\u017E\u00EDv\u00E1 \u0159ada protokol\u016F. Krom\u011B klasick\u00FDch pap\u00EDrov\u00FDch protokol\u016F jsou dobr\u00E9 zku\u0161enosti s protokoly zalo\u017Een\u00FDmi na matematick\u00E9m \u010Di prediktivn\u00EDm modelu. Praktick\u00E1 aplikace prediktivn\u00EDho modelu vede k lep\u0161\u00ED kontrole hladiny cukru v krvi ve stanoven\u00FDch limitech, a d\u00E1le tak\u00E9 ke sn\u00ED\u017Een\u00E9mu v\u00FDskytu hypoglykemick\u00FDch epizod a ni\u017E\u0161\u00ED variabilit\u011B nam\u011B\u0159en\u00FDch hodnot cukru v krvi. V bl\u00EDzk\u00E9 budoucnosti je mo\u017Eno o\u010Dek\u00E1vat v\u00FDvoj pln\u011B automatizovan\u00E9ho syst\u00E9mu, s jeho\u017E pomoc\u00ED bude glyk\u00E9mie neust\u00E1le monitorov\u00E1na pomoc\u00ED zabudovan\u00E9ho senzoru, na z\u00E1klad\u011B \u010Deho\u017E budou d\u00E1vky inzul\u00EDnu pravideln\u011B upravov\u00E1ny." . "[83DF4F07031C]" . .