ID | 70456 |
著者 |
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
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キーワード | intensive insulin therapy
cardiovascular surgery
cardiopulmonary bypass
artificial endocrine pancreas
diabetes
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資料タイプ |
学術雑誌論文
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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.
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掲載誌名 |
The journal of medical investigation : JMI
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ISSN | 13431420
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cat書誌ID | AA11166929
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巻 | 57
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号 | 3-4
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開始ページ | 191
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終了ページ | 204
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並び順 | 191
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発行日 | 2010-08
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備考 | The journal of medical investigation : http://medical.med.tokushima-u.ac.jp/jmi/index.html
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EDB ID | |
フルテキストファイル | |
言語 |
eng
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部局 |
医学系
歯学系
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