VIEW SELECTED LIBRARY MEDIA
Name of Media:
Practice guideline series: blood glucose management during adult cardiac surgery
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:
Primary Focus of Media:
Pre-Use of PICS Designation
The prevalence of diabetes mellitus in patients requir-ing 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 isnow evidence to suggest that achieving glycemic controlin patients with diabetes decreases perioperative mor-bidity and improves short-term and long-term survival.Despite the emerging recognition of the importance of glycemic control, there are no specific guidelines forcardiac surgeons as to what the optimal level of glu-cose should be during the perioperative period, andthe best method to achieve these target values. Whatfollows 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 recommen-dations.
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