title: [On metabolic therapeutics G-I-K in surgery of cardiac patients].
abstract: The basic principles of the metabolic therapeutics with glucose-insulin-potassium solutions, already proposed by Dr. Demetrio Sodi Pallares, are exposed. Chronologic succession of this treatment during the preoperative, transoperative and postoperative phases of heart surgery, as well as some personal observations of one of the authors, are described. The glucose-insulin-potassium solution is a powerful system, providing very useful energy to protect the injured myocardium during cardiovascular surgery. Many publications support this assertion. The most recent ones indicate a reduction of low output syndromes due to interventions on coronary arteries, as well as a significant diminution of circulating fatty acids after primary angioplasty. The mentioned solution, in higher concentrations than the initial one, could become routine therapeutics in medicine and surgery centers, in general.
authors.affiliation: Instituto Nacional de Cardiología "Ignacio Chávez", México.
authors.forename: Alfredo
authors.initials: A
authors.lastname: de Micheli
authors.forename: Gustavo A
authors.initials: GA
authors.lastname: Medrano
mesh_terms: D006348:Cardiac Surgical Procedures; D002314:Cardioplegic Solutions / Q000627:therapeutic use*; D005947:Glucose / Q000627:therapeutic use*; D006801:Humans; D007328:Insulin / Q000627:therapeutic use*; D019990:Perioperative Care; D011188:Potassium / Q000627:therapeutic use*
chemical_list: D002314:Cardioplegic Solutions; D007328:Insulin; C030396:glucose-insulin-potassium cardioplegic solution; D005947:Glucose; D011188:Potassium