• J. Cardiothorac. Vasc. Anesth. · Jan 2024

    Review

    Perioperative Glycemic Management in Cardiac Surgery: A Narrative Review.

    • Yada Thongsuk and Nian Chih Hwang.
    • Department of Anesthesiology, King Chulalongkorn Memorial Hospital, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; Department of Cardiothoracic Anaesthesia, National Heart Centre, Singapore.
    • J. Cardiothorac. Vasc. Anesth. 2024 Jan 1; 38 (1): 248267248-267.

    AbstractDiabetes and hyperglycemic events in cardiac surgical patients are associated with postoperative morbidity and mortality. The causes of dysglycemia, the abnormal fluctuations in blood glucose concentrations, in the perioperative period include surgical stress, surgical techniques, medications administered perioperatively, and patient factors. Both hyperglycemia and hypoglycemia lead to poor outcomes after cardiac surgery. While trying to control blood glucose concentration tightly for better postoperative outcomes, hypoglycemia is the main adverse event. Currently, there is no definite consensus on the optimum perioperative blood glucose concentration to be maintained in cardiac surgical patients. This review provides an overview of perioperative glucose homeostasis, the pathophysiology of dysglycemia, factors that affect glycemic control in cardiac surgery, and current practices for glycemic control in cardiac surgery.Copyright © 2023 Elsevier Inc. All rights reserved.

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