ID 70456
Author
Kitahata, Hiroshi Department of Dental Anesthesiology, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Kitagawa, Tetsuya Department of Cardiovascular Surgery, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Oshita, Shuzo Department of Anesthesiology, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
intensive insulin therapy
cardiovascular surgery
cardiopulmonary bypass
artificial endocrine pancreas
diabetes
Content Type
Journal Article
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.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
57
Issue
3-4
Start Page
191
End Page
204
Sort Key
191
Published Date
2010-08
Remark
The journal of medical investigation : http://medical.med.tokushima-u.ac.jp/jmi/index.html
EDB ID
FullText File
language
eng
departments
Medical Sciences
Oral Sciences