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Name of Media:

Practice guideline series: blood glucose management during adult cardiac surgery

Author(s):

Harold L. Lazar,MD,Marie McDonnell,MD,Stuart R. Chipkin,MD,Anthony P. Furnary,MD,Richard M. Engelman,MD,Archana R. Sadhu,MD,Charles R. Bridges,MD, ScD,Constance K. Haan,MD, MS,Rolf Svedjeholm,MD, PhD,Heinrich Taegtmeyer,MD, DPhil,and Richard J. Shemin, MD

Publisher or Source:

Society of Thoracic Surgeons (USA)

Type of Media:

Medical Professional Education

Media Originally for:

Critical Care Physicians, General Medical Professionals

Country of Origin:

United States

Primary Focus of Media:

Pre-Use of PICS Designation

COVID-19 Related:

No

Description:

The prevalence of diabetes mellitus in patients requiring cardiac surgery is rapidly increasing. These patients have higher perioperative morbidity and mortality, significantly reduced long-term survival, and less freedom from recurrent episodes of angina[1–3]. There is now evidence to suggest that achieving glycemic control in patients with diabetes decreases perioperative morbidity and improves short-term and long-term survival. Despite the emerging recognition of the importance of glycemic control, there are no specific guidelines for cardiac surgeons as to what the optimal level of glucose should be during the perioperative period, and the best method to achieve these target values. What follows is an executive summary of guidelines for the management of hyperglycemia in both patients with and without diabetes undergoing adult cardiac surgical procedures, derived from evidence-based recommendations.

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