Endocrinopathies in the Cardiac ICU

Steven M. Schwartz; K. J.S. Anand; Michael A. Portman; Sheri Crow; David P. Nelson; Jerry J. Zimmerman

doi:10.1177/2150135111406941

Endocrinopathies in the Cardiac ICU

Steven M. Schwartz, K. J.S. Anand, Michael A. Portman, Sheri Crow, David P. Nelson, Jerry J. Zimmerman

Pediatric and Adolescent Medicine

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

The past several years have seen an increased appreciation of the potential role of the endocrine system in the recovery process following surgery for congenital heart disease. Many of the hormonal changes following cardiac surgery are adaptive and necessary, whereas activation of proinflammatory cytokine and chemokine responses and some of the metabolic changes following surgery are likely mediators leading to detrimental outcomes. Additionally, other hormonal perturbations may contribute to adverse outcomes. This review examines the pain and the stress response, thyroid function and hyperglycemia following cardiopulmonary bypass (CPB), and the potential role of corticosteroids in the pediatric cardiac critical care unit.

Original language	English (US)
Pages (from-to)	400-410
Number of pages	11
Journal	World Journal for Pediatric and Congenital Heart Surgery
Volume	2
Issue number	3
DOIs	https://doi.org/10.1177/2150135111406941
State	Published - Jul 2011

Keywords

congenital heart surgery
endocrinology
intensive care
postoperative care

ASJC Scopus subject areas

Surgery
Pediatrics, Perinatology, and Child Health
Cardiology and Cardiovascular Medicine

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10.1177/2150135111406941

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title = "Endocrinopathies in the Cardiac ICU",

abstract = "The past several years have seen an increased appreciation of the potential role of the endocrine system in the recovery process following surgery for congenital heart disease. Many of the hormonal changes following cardiac surgery are adaptive and necessary, whereas activation of proinflammatory cytokine and chemokine responses and some of the metabolic changes following surgery are likely mediators leading to detrimental outcomes. Additionally, other hormonal perturbations may contribute to adverse outcomes. This review examines the pain and the stress response, thyroid function and hyperglycemia following cardiopulmonary bypass (CPB), and the potential role of corticosteroids in the pediatric cardiac critical care unit.",

keywords = "congenital heart surgery, endocrinology, intensive care, postoperative care",

author = "Schwartz, {Steven M.} and Anand, {K. J.S.} and Portman, {Michael A.} and Sheri Crow and Nelson, {David P.} and Zimmerman, {Jerry J.}",

note = "Funding Information: Dr. Portman received funding from the U.S. Food and Drug Administration Office of Orphan Product Development Program (R01 FD-R-1971-01).",

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AU - Portman, Michael A.

AU - Crow, Sheri

AU - Nelson, David P.

AU - Zimmerman, Jerry J.

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AB - The past several years have seen an increased appreciation of the potential role of the endocrine system in the recovery process following surgery for congenital heart disease. Many of the hormonal changes following cardiac surgery are adaptive and necessary, whereas activation of proinflammatory cytokine and chemokine responses and some of the metabolic changes following surgery are likely mediators leading to detrimental outcomes. Additionally, other hormonal perturbations may contribute to adverse outcomes. This review examines the pain and the stress response, thyroid function and hyperglycemia following cardiopulmonary bypass (CPB), and the potential role of corticosteroids in the pediatric cardiac critical care unit.

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Endocrinopathies in the Cardiac ICU

Abstract

Keywords

ASJC Scopus subject areas

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