ID | 70456 |
Author |
Kawahito, Shinji
Department of Anesthesiology, Tokushima University Hospital
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Kitahata, Hiroshi
Department of Dental Anesthesiology, Tokushima University Hospital
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Kitagawa, Tetsuya
Department of Cardiovascular Surgery, Tokushima University Hospital
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Oshita, Shuzo
Department of Anesthesiology, Tokushima University Hospital
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Keywords | intensive insulin therapy
cardiovascular surgery
cardiopulmonary bypass
artificial endocrine pancreas
diabetes
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Content Type |
Journal Article
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Description | Recent evidence in the fields of surgery, emergency and critical care medicine indicates that strict glycemic control results in lower mortality. Hyperglycemia occurs frequently in patients with and without diabetes during cardiovascular surgery, especially during cardiopulmonary bypass. However, strict glucose control is difficult to achieve during cardiovascular procedures. To establish effective intensive insulin therapy during cardiovascular surgery, we conduct continuous blood glucose monitoring and employ automatic control by using an artificial endocrine pancreas (the STGR-22, Nikkiso, Tokyo, Japan). In this review, we will outline the present status and problems of conventional glycemic control for perioperative cardiovascular surgery and introduce the new perioperative blood glucose management method that we are testing now. We will also discuss the importance of perioperative glycemic control for cardiovascular surgery as well as future prospects.
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Journal Title |
The journal of medical investigation : JMI
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ISSN | 13431420
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NCID | AA11166929
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Volume | 57
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Issue | 3-4
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Start Page | 191
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End Page | 204
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Sort Key | 191
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Published Date | 2010-08
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Remark | The journal of medical investigation : http://medical.med.tokushima-u.ac.jp/jmi/index.html
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EDB ID | |
FullText File | |
language |
eng
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departments |
Medical Sciences
Oral Sciences
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