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CME: Making the case for glycemic control: Is it a Matter of Tightness or Timing?

 


Program Description / Statement of Need:

In this online CME self-learning program:

Effective glucose control in the intensive care unit (ICU) has been shown to decrease morbidity across a large range of conditions and also to decrease mortality. Establishing a working glycemic control policy in the ICU is challenging as there are concerns regarding inducing hypoglycemia, nurse workload issues, and questions as to the optimal glucose range to manage the patient to.  With 7.8% of the U.S. population having diabetes and 38% of patients being admitted to hospitals having hyperglycemia, this is a significant problem. In addition, recent research has shown a decrease in mortality if there is less variability in the glucose values. This session will provide an interactive approach to discuss the questions; How tight should tight be?, Is it tight versus timing?, and is it patient driven glucose control or clock driven control?

 

Agenda

 

  •    - Disclosures and Introduction
       - Current issues surrounding glycemic control
       - The impact of glucose variability on different patient population
       - Improvements in Practice
       - References, Summary and Conclusions

 

Target Audience:

This program has been designed for a multidisciplinary physician and nurse audience treating patients in the ICU and other critical care environments, including: ICU / Anesthesia / Peri-op / Intensivists / Trauma / Critical Care



Program Objectives:

By the end of the session the participant will be able to:

    • Describe current issues surrounding glycemic control.
    • Determine the impact of glucose variability on different patient population.
    • Compare individual practices with others.


    Accreditation:

     

    This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through ScientiaCME. ScientiaCME is accredited by the ACCME to provide continuing medical education for physicians.

     

    Credit Designation: ScientiaCME designates this educational activity for a maximum of 0.5 AMA PRA Category 1 Credit(s)™ toward the AMA Physician's Recognition Award. Physicians should only claim credit commensurate with the extent of their participation in the activity.

     

    ACCREDITATION FOR THIS COURSE HAS EXPIRED. YOU MAY VIEW THE PROGRAM, BUT CME / CE IS NO LONGER AVAILABLE AND NO CERTIFICATE WILL BE ISSUED.



    Release Date: August 20, 2011
    Expiration Date: August 20, 2014

    Faculty: Barbara 'Bobbi' Leeper MN, RN, CNS, CCRN


    Faculty Disclosure and Resolution of COI:

     As an provider of continuing medical education, it is the policy of the ScientiaCME to ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. In accordance with this policy, faculty and educational planners must disclose any significant relationships with commercial interests whose products or devices may be mentioned in faculty presentations, and any relationships with the commercial supporter of the activity. The intent of this disclosure is to provide the intended audience with information on which they can make their own judgments. Additionally, in the event a conflict of interest (COI) does exist, it is our policy to ensure that the COI is resolved in order to ensure the integrity of the CME activity. For this CME activity, any COI has been resolved through content review by ScientiaCME.

     

    Faculty Disclosure: Barbara "Bobbi" Leeper, RN discloses receiving consulting income from Edwards Lifesciences.

     

    Disclosures of Educational Planners:

     

    Steven Sachse is an officer and part owner of ScientiaCME, LLC, which has received a grant from the commercial supporter of this program: Edwards Lifesciences.

     

    Charles Turck, PharmD, is an officer and part owner of ScientiaCME, LLC, which has received a grant from the commercial supporter of this program: Edwards Lifesciences.

     

    Commercial Support Disclosure: This program is supported by an educational grant from Edwards Lifesciences, a manufacturer of medical devices.

     

    Viewing Requirements:

     

    PC

    Windows 2000 or above
    Internet Explorer 5.5
    Adobe Acrobat Reader*

    MAC
    Mac OS 10.2.8
    Safari
    Adobe Acrobat Reader*
    Internet Explorer is not supported on the Macintosh

     

    *Required to view Printable PDF Version

     

    Privacy Policy

     

    Instructions:
    -Read the learning objectives and faculty disclosures above

    -Take the Pre-Test (optional). Completion of the pre-test will help us evaluate the knowedge gained by participating in this CME activity.

    -View the on-line program. You may view this is in more than one session, and may pause or repeat any portion of the presentation if you need to.

    -Take the post-test

    -Complete the program evaluation and CME registration. A CE certificate will be emailed to you.


    Perform Pre-Test (optional)
    Please take a few minutes to participate in the optional pre-test. It will help us measure the knowledge gained by participating in this activity.


    Download the Presentation (optional)


     

    View the online program

     

    Perform Post-Test


    Complete the Symposium Evaluation and Request CE Certificate



This program is supported by an educational grant from Edwards Lifesciences, a manufacturer of Medical Devices.

 

Examples of glycemic protocols

 

Based upon participant feedback, the following links have been provided to show examples of different institutions' glycemic protocols:

 

Methodist Le Bonheur Healthcare, Memphis, TN, USA
Henry Ford Hospital, Detroit, MI, USA
Atlanta Medical Center, Atlanta, GA, USA
University of North Carolina-Chapel Hill, Chapel Hill, NC, USA:
Yale-New Haven Hospital, New Haven, CT, USA:

Northwestern Memorial Hospital, Chicago, IL, USA

Banner Good Samaritan Medical Center, Phoenix, AZ, USA
Southwestern Washington Medical Center, Vancouver, WA, USA
General University Hospital, Prague, Czech Republic

 


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