Evidence-based guidelines for perioperative management of diabetes in cardiac and vascular surgery.
BACKGROUND
Management of patients with hyperglycaemia undergoing vascular and cardiac surgery is important, with mounting evidence that hyperglycaemia in this setting is associated with worse outcomes. Evidence-based guidelines for the management of these patients have been limited.


RESULTS
Our institution was aware of the lack of standardization of care in this growing population group and formed a multidisciplinary guideline development group to develop evidence-based guidelines to standardize the perioperative management of hyperglycaemia.


CONCLUSIONS
This series of articles outlines the process of developing evidence-based guidelines and the recommendations for perioperative management of patients with hyperglycaemia and diabetes undergoing cardiac and vascular surgery at our institution.
Wong
Jennifer
J
Diabetes and Research Unit, Dandenong Hospital, Southern Health, 135 David Street, Dandenong, VIC, 3175, Australia. Jennifer.Wong@med.monash.edu.au
Zoungas
Sophia
S
Wright
Chris
C
Teede
Helena
H
D013504:Cardiovascular Surgical Procedures; D003920:Diabetes Mellitus / Q000188:drug therapy*; D019317:Evidence-Based Medicine; D006801:Humans; D006943:Hyperglycemia / Q000188:drug therapy*; D019990:Perioperative Care; D011183:Postoperative Complications / Q000517:prevention & control*