北川, 哲也 Department of Cardiovascular Surgery, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
intensive insulin therapy
artificial endocrine pancreas
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.
The journal of medical investigation : JMI
The journal of medical investigation : http://medical.med.tokushima-u.ac.jp/jmi/index.html
LID201112122003.pdf 1.23 MB