A retrospective analysis of blood gases with two different insulin infusion protocols in patients undergoing cardiovascular surgery


Kuskonmaz S. M. , Kurtipek O., AYDIN M. E. , Erbatur M. E. , Alkan M., Unal Y., ...More

NIGERIAN JOURNAL OF CLINICAL PRACTICE, vol.19, no.6, pp.742-746, 2016 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 19 Issue: 6
  • Publication Date: 2016
  • Doi Number: 10.4103/1119-3077.178943
  • Journal Name: NIGERIAN JOURNAL OF CLINICAL PRACTICE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.742-746
  • Keywords: Base excess, cardiovascular surgery, diabetes mellitus, electrolytes, perioperative insulin infusion, CARDIAC-SURGERY, GLUCOSE CONTROL, THERAPY, MORTALITY, HYPERGLYCEMIA, TRANSFUSION, MANAGEMENT, GUIDELINE
  • Gazi University Affiliated: Yes

Abstract

Aim: Intraoperative blood glucose concentration is known to be an independent risk factor for morbidity and mortality in patients undergoing cardiovascular surgery. Arterial blood gas analysis is an important investigation to monitor the acid-base balance and gas exchange in these patients. Hyperglycemia leads to a series of metabolic changes which affect acid-base balance and serum electrolytes. In this study, we aimed to look into the effect of glycemic control on arterial blood gas parameters, serum electrolytes, and hemoglobin (Hb).