Hyperglycemia as an effect of cardiopulmonary bypass: Intra-operative glucose management

Research output: Contribution to journalReview article

12 Scopus citations

Abstract

Cardiopulmonary bypass (CPB) is associated with surgical stress, hypothermia, hyperoxia, enhancement of neuroendocrine outflow, and administration of glucogenic catecholamines that are associated with glucogonolysis and glucogenesis that result in hyperglycemia. The hyperglycemic state during CPB has been associated with adverse outcomes, such as infection, neurological impairment, cardiac dysfunction, prolonged hospitalization, and higher mortality rates. This report justifies vigilant monitoring of blood glucose levels and a rational protocol for the treatment of hyperglycemia of all open heart surgical patients that may improve post-CPB surgical outcomes.

Original languageEnglish (US)
Pages (from-to)168-173
Number of pages6
JournalJournal of Extra-Corporeal Technology
Volume38
Issue number2
StatePublished - Jun 1 2006

Keywords

  • GLUT2
  • GLUT4
  • Glucose
  • Glycogen
  • Hyperglycemia
  • Hyperoxia
  • Hypothermia
  • Insulin

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health Professions (miscellaneous)
  • Cardiology and Cardiovascular Medicine

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