Literature DB >> 25613744

Questionnaire survey on the use of a novel artificial pancreas by intensive care unit nurses.

Kiyo Mibu1, Tomoaki Yatabe, Fumiyasu Yamasaki, Hiroyuki Kitagawa, Masaya Munekage, Tsutomu Namikawa, Kazuhiro Hanazaki.   

Abstract

The introduction of a color liquid-crystal display (LCD) on a novel artificial pancreas (STG-55, Nikkiso Co. Ltd. Tokyo, Japan) allowed nurses to more easily monitor changes in patients' blood glucose levels, compared to the previous model (STG-22). This study was conducted to examine the hypothesis that the STG-55 provided nurses with a feeling of security due to the introduction of the LCD screen. A questionnaire survey was conducted 6 months after the STG-55 was introduced (Survey 2012), among intensive care unit (ICU) nurses who had used both the STG-22 and the STG-55 for patient glycemic control. The results were then compared with the results from a questionnaire survey that was conducted after the STG-22 was introduced (Survey 2006). All ICU nurses (n = 19) responded to Survey 2012, and 95% of these nurses had responded to Survey 2006 (n = 19). After the introduction of the STG-22, 11 nurses (58%) reported becoming conscious of anxiety regarding hypoglycemia when they performed conventional glucose control with the sliding scale method. This anxiety awareness increased significantly (19 nurses, 100%; p < 0.01) after the STG-55 was introduced. However, there were no significant differences in the proportion of respondents who requested improvements in the blood withdrawal process. In conclusion, the results of our survey indicate that all ICU nurses became conscious of anxiety regarding the risk of hypoglycemia when using the conventional sliding scale method after the introduction of the STG-55. However, the respondents were not satisfied with the STG-55, due to difficulties encountered during blood withdrawal.

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Year:  2015        PMID: 25613744     DOI: 10.1007/s10047-015-0818-0

Source DB:  PubMed          Journal:  J Artif Organs        ISSN: 1434-7229            Impact factor:   1.731


  10 in total

1.  Intensive insulin therapy in critically ill patients.

Authors:  G van den Berghe; P Wouters; F Weekers; C Verwaest; F Bruyninckx; M Schetz; D Vlasselaers; P Ferdinande; P Lauwers; R Bouillon
Journal:  N Engl J Med       Date:  2001-11-08       Impact factor: 91.245

2.  Intensive versus conventional glucose control in critically ill patients.

Authors:  Simon Finfer; Dean R Chittock; Steve Yu-Shuo Su; Deborah Blair; Denise Foster; Vinay Dhingra; Rinaldo Bellomo; Deborah Cook; Peter Dodek; William R Henderson; Paul C Hébert; Stephane Heritier; Daren K Heyland; Colin McArthur; Ellen McDonald; Imogen Mitchell; John A Myburgh; Robyn Norton; Julie Potter; Bruce G Robinson; Juan J Ronco
Journal:  N Engl J Med       Date:  2009-03-24       Impact factor: 91.245

3.  Blood glucose control using an artificial pancreas reduces the workload of ICU nurses.

Authors:  Kiyo Mibu; Tomoaki Yatabe; Kazuhiro Hanazaki
Journal:  J Artif Organs       Date:  2011-09-27       Impact factor: 1.731

4.  Perioperative intensive insulin therapy using an artificial endocrine pancreas with closed-loop glycemic control system: the effects of no hypoglycemia.

Authors:  Kazuhiro Hanazaki; Hiroyuki Kitagawa; Tomoaki Yatabe; Masaya Munekage; Ken Dabanaka; Yuka Takezaki; Yuuki Tsukamoto; Takuji Asano; Yoshihiko Kinoshita; Tsutomu Namikawa
Journal:  Am J Surg       Date:  2014-01-03       Impact factor: 2.565

5.  The evaluation of the ability of closed-loop glycemic control device to maintain the blood glucose concentration in intensive care unit patients.

Authors:  Tomoaki Yatabe; Rie Yamazaki; Hiroyuki Kitagawa; Takehiro Okabayashi; Koichi Yamashita; Kazuhiro Hanazaki; Masataka Yokoyama
Journal:  Crit Care Med       Date:  2011-03       Impact factor: 7.598

Review 6.  Guidelines for the use of an insulin infusion for the management of hyperglycemia in critically ill patients.

Authors:  Judith Jacobi; Nicholas Bircher; James Krinsley; Michael Agus; Susan S Braithwaite; Clifford Deutschman; Amado X Freire; Douglas Geehan; Benjamin Kohl; Stanley A Nasraway; Mark Rigby; Karen Sands; Lynn Schallom; Beth Taylor; Guillermo Umpierrez; John Mazuski; Holger Schunemann
Journal:  Crit Care Med       Date:  2012-12       Impact factor: 7.598

7.  Relationship of perioperative hyperglycemia and postoperative infections in patients who undergo general and vascular surgery.

Authors:  Margarita Ramos; Zain Khalpey; Stuart Lipsitz; Jill Steinberg; Maria Theresa Panizales; Michael Zinner; Selwyn O Rogers
Journal:  Ann Surg       Date:  2008-10       Impact factor: 12.969

8.  Benefits and risks of tight glucose control in critically ill adults: a meta-analysis.

Authors:  Renda Soylemez Wiener; Daniel C Wiener; Robin J Larson
Journal:  JAMA       Date:  2008-08-27       Impact factor: 56.272

Review 9.  Problems associated with glucose toxicity: role of hyperglycemia-induced oxidative stress.

Authors:  Shinji Kawahito; Hiroshi Kitahata; Shuzo Oshita
Journal:  World J Gastroenterol       Date:  2009-09-07       Impact factor: 5.742

Review 10.  Relationship between perioperative glycemic control and postoperative infections.

Authors:  Kazuhiro Hanazaki; Hiromichi Maeda; Takehiro Okabayashi
Journal:  World J Gastroenterol       Date:  2009-09-07       Impact factor: 5.742

  10 in total

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