PMID: 7008893Mar 1, 1981

Management of diabetes during open heart surgery

The British Journal of Surgery
G V GillK G Alberti

Abstract

The management of 5 insulin-dependent diabetics following open heart surgery was studied and compared with a group of 5 similar diabetics who had undergone urological or orthopaedic operations. The patients were all treated with a glucose/insulin/potassium infusions regimen, but the cardiac group needed much greater amounts of insulin (1.0 unit/g of glucose) than the non-cardiac group (0.3 units/g) to achieve a similar level of control. The high requirements of the cardiac patients are probably related to trauma, hypothermia and glucose loading when cardiopulmonary bypass begins. Diabetics undergoing such surgery need suitably modified insulin regimens from the outset.

References

Jul 1, 1979·British Journal of Anaesthesia·K G Alberti, D J Thomas

Citations

Mar 1, 1995·Journal of General Internal Medicine·R L Schiff, M A Emanuele
Jul 1, 2003·Indian Journal of Clinical Biochemistry : IJCB·O P SanjayDeepak Ivan Tauro
Apr 22, 2003·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·Ohad CohenAram K Smolinsky
Jun 16, 2007·The American Journal of the Medical Sciences·Saad A HafidhMartin A Alpert
Jan 30, 2004·Diabetes Care·Stephen ClementAmerican Diabetes Association Diabetes in Hospitals Writing Committee
Jun 5, 1999·Anesthesia and Analgesia·D J Cook
Jul 15, 2004·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Bruce W BodePaul C Davidson

Related Concepts

Diabetes Mellitus
Cardiac Surgery Procedures
Parenteral Infusion
Novolin
Intraoperative Care

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