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ID 113628
Author
Tada, Fumihiko Shikoku Medical Center for Children and Adults
Kinoshita, Hiroyuki IMS Fujimi General Hospital
Keywords
continuous blood glucose monitoring
artificial endocrine pancreas
cardiovascular surgery
cardiopulmonary bypass
children
Content Type
Journal Article
Description
The purpose of this study was to assess the accuracy and efficacy of a continuous blood glucose monitoring system (artificial endocrine pancreas; STG-22, Nikkiso, Co., Ltd., Tokyo, Japan) during pediatric cardiopulmonary bypass. Sixteen pediatric patients scheduled to undergo cardiovascular surgery with cardiopulmonary bypass (6 for atrial septal defects, 8 for ventricular septal defects and 2 for others, age: 7 months to 13 years, body weight 6.4-55.4 kg) were enrolled. The glucose sensor line of the artificial endocrine pancreas was connected to the venous side of the cardiopulmonary bypass circuit and used for continuous blood glucose monitoring. We obtained 66 samples for blood gas assessment from the cardiopulmonary bypass circuit, and i-STAT (Abbott, East Windsor, NJ, USA) was used for conventional blood glucose assessment. Data were analyzed with simple linear regression analysis using the Bland and Altman approach. After cardiopulmonary bypass was started and the aortic artery clamped, the blood glucose level rose markedly to around 300 mg/dl. Blood sampling via the venous side of the cardiopulmonary bypass circuit showed that continuous blood glucose monitoring was stable and reliable even during pediatric cardiovascular surgery with cardiopulmonary bypass. A close correlation (R = 0.97) was observed between continuous glucose measurement and conventional intermittent glucose measurements. The results of this continuous blood glucose monitoring system for cardiopulmonary bypass during pediatric cardiovascular surgery were highly reliable.
Journal Title
Clinical Pediatric Anesthesia
ISSN
13415603
NCID
AA11493244
Publisher
The Japanese Society of Pediatric Anesthesiology
Volume
25
Start Page
3
End Page
7
Published Date
2019
EDB ID
FullText File
Thumnail cpa_25_3.pdf 1.48 MB
language
eng
TextVersion
Publisher
departments
Medical Sciences
University Hospital
Oral Sciences