TY - JOUR
T1 - Importance of perioperative blood glucose management in cardiac surgical patients
AU - Shine, Timothy S.J.
AU - Uchikado, Mihoko
AU - Crawford, Claudia C.
AU - Murray, Michael J.
PY - 2007/12
Y1 - 2007/12
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=38349166128&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=38349166128&partnerID=8YFLogxK
U2 - 10.1177/021849230701500621
DO - 10.1177/021849230701500621
M3 - Review article
C2 - 18042786
AN - SCOPUS:38349166128
SN - 0218-4923
VL - 15
SP - 534
EP - 538
JO - Asian Cardiovascular and Thoracic Annals
JF - Asian Cardiovascular and Thoracic Annals
IS - 6
ER -