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Insulin therapy in cardiac surgery
Ashvini Menon, A M Ranasinghe1
1Consultant Cardiothoracic Surgeon, UHB NHS FT, Department of Cardiac Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, B15 2TH, UK. aaron.ranasinghe@uhb.nhs.uk.
Current Diabetes Reviews
|September 24, 2014
Summary
Insulin impacts cardiovascular health, and managing peri-operative hyperglycemia with glucose-insulin-potassium therapy in cardiac surgery patients is debated. This review examines evidence for glycemic control and insulin
Area of Science:
- Cardiology
- Endocrinology
- Metabolic Disorders
Background:
- Insulin influences cardiovascular function beyond glycemic control.
- Surgical stress causes peri-operative hyperglycemia in patients.
- Debate exists regarding optimal glycemic targets and insulin use in cardiac surgery.
Purpose of the Study:
- To review evidence on glycemic control in cardiac surgery.
- To discuss potential benefits of insulin therapy, specifically glucose-insulin-potassium (GIK), in cardiac surgery.
Main Methods:
- Literature review of studies on glycemic control and insulin therapy in cardiac surgery.
- Analysis of evidence regarding glucose-insulin-potassium therapy.
Main Results:
- The review synthesizes current evidence on the topic.
- Findings highlight the ongoing discussion surrounding insulin's role.
Conclusions:
- Further research is needed to clarify the role of insulin and GIK therapy in managing cardiac surgery patients.
- Optimal glycemic management strategies require continued investigation.
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