Importance of perioperative blood glucose management in cardiac surgical patients
| Autor: | Michael J. Murray, Timothy S. J. Shine, Mihoko Uchikado, Claudia C. Crawford |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Pulmonary and Respiratory Medicine
Blood Glucose medicine.medical_specialty Heart Diseases medicine.medical_treatment 030204 cardiovascular system & hematology Perioperative Care law.invention Diabetes Complications 03 medical and health sciences 0302 clinical medicine law Monitoring Intraoperative medicine Cardiopulmonary bypass Humans Hypoglycemic Agents Insulin In patient Cardiac Surgical Procedures Cardiopulmonary Bypass business.industry General Medicine Perioperative Intensive care unit Glucose management Cardiac surgery Circulatory Arrest Deep Hypothermia Induced Treatment Outcome 030228 respiratory system Anesthesia Hyperglycemia Surgery Insulin Resistance Cardiology and Cardiovascular Medicine business Surgical patients |
| Zdroj: | Asian cardiovascularthoracic annals. 15(6) |
| ISSN: | 1816-5370 |
| Popis: | Tight blood glucose control has become a therapeutic goal for anesthetic management of patients undergoing cardiovascular surgery. We discuss the evidence for a link between blood glucose levels and rates of morbidity and mortality in cardiac surgical patients in the intensive care unit. Hyperglycemia per se has been associated with higher rates of deep wound infection, neurologic, renal, and cardiac complications following surgery, as well as longer intensive care unit stay. We review the specifics of glucose management in patients undergoing cardiac surgery and hypothermic cardiopulmonary bypass, including the role that insulin may play in regulating blood glucose levels intraoperatively and the relationship between insulin and outcome. |
| Databáze: | OpenAIRE |
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