Utility of bedside artificial pancreas for postoperative glycemic control in cardiac surgery
| Autor: | Nishimoto Yuki, Urai Shin, Mukohara Nobuhiko, Satake Yuka, Oue Tetsuya, Kajita Satoru, Yamane Yu, Kawashima Motoharu, Hashimoto Naoko, Doi Kazuki, Henmi Soichiro, Koga Tokito, Murakami Hirohisa, Takabe Michinori, Kashitani Yuya, Kuroda Mitsuo, Ohara Takeshi |
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| Rok vydání: | 2020 |
| Předmět: |
Blood Glucose
Male Pancreas Artificial medicine.medical_specialty Time Factors Critical Illness 0206 medical engineering Biomedical Engineering Medicine (miscellaneous) Glycemic Control 02 engineering and technology 030204 cardiovascular system & hematology Hypoglycemia Artificial pancreas law.invention Biomaterials 03 medical and health sciences Postoperative Complications 0302 clinical medicine Risk Factors law Humans Insulin Medicine Cardiac Surgical Procedures Adverse effect Aged Retrospective Studies Glycemic Aged 80 and over business.industry Perioperative Middle Aged medicine.disease 020601 biomedical engineering Intensive care unit Cardiac surgery Hyperglycemia Anesthesia Arterial blood Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Artificial Organs. 24:225-233 |
| ISSN: | 1619-0904 1434-7229 |
| Popis: | Perioperative hyperglycemia, hypoglycemia, and high glycemic variability are independent risk factors for mortality in critically ill patients. After cardiac surgery, intensive glycemic control without hypoglycemia may help to reduce the number of adverse events; however, postoperative glycemic control is difficult in many cases. In this study, we investigated whether the bedside artificial pancreas STG-55 is useful for postoperative glycemic control in cardiac surgery. Methods: In the present single-center retrospective study, we analyzed arterial blood glucose levels for 15 h after surgery in 69 patients treated using the bedside artificial pancreas and in 160 patients treated with continuous intravenous insulin infusion using a scale that adjusts for current blood glucose level, glycemic fluctuation, and insulin dose. Results: Hypoglycemia (arterial blood glucose level |
| Databáze: | OpenAIRE |
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