This research paper provides a literature review and a detailed analysis and discussion on new technology involving insulin pumps for the nursing and medical professions.
Written in 2008; 11,941 words; 31 sources; APA; $ 231.95
Paper Summary:
Advances in modern medical science have created a number of new devices that can be used to improve health outcomes, reduce costs and bolster quality of life for the patient. Although many medical advances and technologies have been considered in the context of evidence-based medicine, some technologies are still being evaluated to determine their usefulness and applicability in different healthcare environments and settings. Thus, nursing professionals working in the field can face some notable challenges when it comes to applying new technologies to clinical practice. With the realization that efforts to advance empirical research and evidence-based medicine are still incomplete in a number of pertinent healthcare areas, there is a direct impetus to consider how advances in medical technology are currently being addressed by scholars and professionals. Using this as a basis for investigation, this research considers what has been noted about the utilization of insulin pumps. Specifically, this research provides a review of the technology, its application for improving patient outcomes and health and its use in surgery. Through a careful review of what has been noted on this topic, it is possible to determine if insulin pumps have been widely employed in the context of surgery and the protocols that have been developed for their use in this setting.
Outline:
Introduction
Literature Review
Type I Diabetes: Definition, Scope and Impact
Type 2 Diabetes
Insulin Pumps: An Overview
Summary
Insulin Pumps and Surgery
Glycemic Control during Surgery
Summary
CSII and Surgery: Postoperative Phase
CSII during Surgery: Intra- or Perioperative
Developing Best Practices
Summary/Discussion/Recommendations
Summary/Discussion
Recommendations
Conclusion
From the Paper:
"Despite the fact that there is ample research which demonstrates the benefits and drawbacks of perioperative use of continuous subcutaneous insulin infusion to achieve glycemic control, Gustafson (2002) provides another twist to perioperative applications of CSII by examining the use of different solutions for continuous insulin. Specifically, this author considered the use of a dextrose 5%-based cardioplegic solution and blood glucose (Group 1) and normal saline 0.9%-based cardioplegic solution and blood glucose on a sliding scale (Group 2) to provide intraoperative support for glycemic control of type 1 and 2 diabetics during cardiac surgery. Glucose levels were monitored before and after placing the patient on bypass and every 30 minutes while the patient was on bypass. The results of the investigation indicate that Group 2 protocol provided a superior means for improving glycemic control during surgery."
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