Perioperative Management of Hyperglycemia and Diabetes in Cardiac Surgery Patients

Endocrinol Metab Clin North Am. 2018 Mar;47(1):203-222. doi: 10.1016/j.ecl.2017.10.005.

Abstract

Perioperative hyperglycemia is common after cardiac surgery, reported in 60% to 90% of patients with diabetes and in approximately 60% of patients without history of diabetes. Many observational and prospective randomized trials in critically-ill cardiac surgery patients support a strong association between hyperglycemia and poor clinical outcome. Despite ongoing debate about the optimal glucose target, there is strong agreement that improved glycemic control reduces perioperative complications.

Keywords: CABG; Cardiac surgery; Diabetes; Hospital diabetes; Perioperative hyperglycemia; Stress hyperglycemia.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Cardiac Surgical Procedures* / adverse effects
  • Humans
  • Hyperglycemia / complications
  • Hyperglycemia / drug therapy*
  • Hyperglycemia / etiology
  • Hypoglycemic Agents / administration & dosage*
  • Intraoperative Complications / drug therapy*
  • Intraoperative Complications / etiology
  • Postoperative Complications / drug therapy*
  • Postoperative Complications / etiology
  • Stress, Psychological / complications*

Substances

  • Hypoglycemic Agents