Endocrinopathies in the Cardiac ICU

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

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)400-410
Number of pages11
JournalWorld Journal for Pediatric and Congenital Heart Surgery
Volume2
Issue number3
DOIs
StatePublished - 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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  • Cite this

    Schwartz, S. M., Anand, K. J. S., Portman, M. A., Crow, S., Nelson, D. P., & Zimmerman, J. J. (2011). Endocrinopathies in the Cardiac ICU. World Journal for Pediatric and Congenital Heart Surgery, 2(3), 400-410. https://doi.org/10.1177/2150135111406941