Glycemic control in cardiac surgery: Rationale and current evidence.
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Date
2014-07
Journal Title
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Abstract
Studies in cardiac surgical patients have shown an association of hyperglycemia with increased incidences
of sepsis, mediastinitis, prolonged mechanical ventilation, cardiac arrhythmias and longer intensive care
and hospital stay. There is considerable controversy regarding appropriate glycemic management in these
patients and in the defi nition of hyperglycemia and hypoglycemia or the blood sugar levels at which therapy
should be initiated. There is also dilemma regarding the usage of “tight glycemic control” with studies showing
confl icting evidences. Part of the controversy can be explained by the differing designs of these studies and
the variable defi nitions of hyperglycemia and hypoglycemia.
Description
Keywords
Cardiac surgery, Glucose control, Insulin therapy
Citation
Girish G, Agarwal Saket, Satsangi Deepak Kumar, Tempe Deepak, Dutta Nilanjan, Pratap Himanshu. Glycemic control in cardiac surgery: Rationale and current evidence. Annals of Cardiac Anaesthesia. 2014 Jul; 17(3): 222-228.