title: Glycemic control in cardiac surgery: rationale and current evidence.
abstract: Studies in cardiac surgical patients have shown an association of hyperglycemia with increased incidences of sepsis, mediastinitis, prolonged mechanical ventilation, cardiac arrhythmias and longer intensive care and hospital stay. There is considerable controversy regarding appropriate glycemic management in these patients and in the definition of hyperglycemia and hypoglycemia or the blood sugar levels at which therapy should be initiated. There is also dilemma regarding the usage of "tight glycemic control" with studies showing conflicting evidences. Part of the controversy can be explained by the differing designs of these studies and the variable definitions of hyperglycemia and hypoglycemia.
authors.affiliation: Department of Cardio-Vascular and Thoracic Surgery, Apollo Gleaneagles, Kolkata, West Bengal, India.
authors.forename: G
authors.initials: G
authors.lastname: Girish
authors.forename: Saket
authors.initials: S
authors.lastname: Agarwal
authors.forename: Deepak Kumar
authors.initials: DK
authors.lastname: Satsangi
authors.forename: Deepak
authors.initials: D
authors.lastname: Tempe
authors.forename: Nilanjan
authors.initials: N
authors.lastname: Dutta
authors.forename: Himanshu
authors.initials: H
authors.lastname: Pratap
mesh_terms: D001786:Blood Glucose; D006348:Cardiac Surgical Procedures; D006801:Humans; D006943:Hyperglycemia / Q000517:prevention & control*
chemical_list: D001786:Blood Glucose