ID 70456
著者
川人, 伸次 Department of Anesthesiology, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
北畑, 洋 Department of Dental Anesthesiology, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
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
大下, 修造 Department of Anesthesiology, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
キーワード
intensive insulin therapy
cardiovascular surgery
cardiopulmonary bypass
artificial endocrine pancreas
diabetes
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
The journal of medical investigation : JMI
ISSN
13431420
cat書誌ID
AA11166929
57
3-4
開始ページ
191
終了ページ
204
並び順
191
発行日
2010-08
備考
The journal of medical investigation : http://medical.med.tokushima-u.ac.jp/jmi/index.html
EDB ID
フルテキストファイル
言語
eng
部局
医学系
歯学系