EPISODE · Oct 8, 2025 · 14 MIN
Initiating Variable Rate Intravenous Insulin Infusion (VRII) in Surgery
from The Surgical Edge · host Surgical Doctor
Send us Fan MailIn general surgical practice, the initiation of a Variable Rate Intravenous Insulin Infusion (VRII), also known as a "sliding scale," is a high-risk therapy guided by stringent national recommendations from the Joint British Diabetes Societies (JBDS) for Inpatient Care and the National Institute for Health and Care Excellence (NICE). It is a planned and proactive strategy for managing known glycaemic excursions, not a reactive treatment for unexpected hyperglycaemia. Let's dive in. Disclaimer: Only for reference. Please refer to standard guidelines and local protocols in clinical practice. Support the showQuick discussion and review of topics that interests you.
What this episode covers
Send us Fan Mail In general surgical practice, the initiation of a Variable Rate Intravenous Insulin Infusion (VRII), also known as a "sliding scale," is a high-risk therapy guided by stringent national recommendations from the Joint British Diabetes Societies (JBDS) for Inpatient Care and the National Institute for Health and Care Excellence (NICE). It is a planned and proactive strategy for managing known glycaemic excursions, not a reactive treatment for unexpected hyperglycaemia. Let's di...
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Initiating Variable Rate Intravenous Insulin Infusion (VRII) in Surgery
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