Glycaemic Control in Cardiac Surgery Patients: a Double-Edged Sword

ISSN: 1875-6212 (Online)
ISSN: 1570-1611 (Print)


Volume 12, 6 Issues, 2014


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Current Vascular Pharmacology

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Editor-in-Chief:
Dimitri P. Mikhailidis
Academic Head, Deptartment of Clinical Biochemistry
Royal Free Hospital Campus
University College London Medical School
University College London (UCL)
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Glycaemic Control in Cardiac Surgery Patients: a Double-Edged Sword

Author(s): Lukasz J Krzych and Maciej T Wybraniec

Affiliation: Department of Cardiac Anaesthesia and Intensive Therapy, Silesian Centre for Heart Diseases 9 Curie-Skłodowskiej St., 41-800 Zabrze, Poland

Abstract

Glycaemic management is of paramount importance in the cardiac surgery setting. A growing body of evidence confirms a J-shaped relationship between blood glucose (BG) level and perioperative morbidity and mortality. On one hand, acute hypoglycaemia causes irreversible cerebral damage. On the other hand, hyperglycaemia increases the risk of infections, acute kidney injury, atrial fibrillation, low cardiac output syndrome, cerebrovascular accidents and cognitive impairment. Also, high BGvariability, even within the therapeutic window, may deteriorate the outcome. Therefore, moderate perioperative insulin management is usually recommended, with target BGadjusted to individual needs and possibilities. Continuous BGmonitoring is a promising tool that should help practitioners in everyday decision-making process of glycaemic control. This review summarises the current evidence-based knowledge on the perioperative management of hyperglycaemia


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Article Details

Volume: 12
First Page: 1
Page Count: 1
DOI: 10.2174/1570161112666140224145707
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