2014, Number 07
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MediSan 2014; 18 (07)
Algorithm for the metabolic control of the diabetic patient in the postoperative period of the cardiovascular surgery
Rodulfo GM, de Dios LJA, Rodríguez AOD, Torralbas RFE
Language: Spanish
References: 8
Page: 148-151
PDF size: 142.01 Kb.
ABSTRACT
The patient with diabetes mellitus frequently presents uncontrolled glycemia levels in the
postoperative period of the cardiovascular surgery, due to the metabolic consequences
caused by them, either the increase of counter-regulative hormones as the resistance
and/or decrease of the insulin levels, caused by the surgical stress to which the organism
is exposed. Its control is essential during the surgery and after it, because the clinical
course of the affected depends on it; therefore, it is of vital importance to have a guide
that allows guidance to maintain the glycemia figures in appropriate values. A
therapeutic algorithm of easy use is presented, elaborated in the Cardiovascular Surgery
Service of "Saturnino Lora Torres" Clinical Surgical Teaching Provincial Hospital in
Santiago de Cuba, with the objective of treating hyperglycemia, which can be generalized
to the rest of the institutions in the country.
REFERENCES
Soto Pernudi S, Quirós Molina P, Chamorro Castro R, Garita Jiménez E, Robelo Pentzke B, Salazar Vargas C. Infección de esternotomía media después de cirugía cardiovascular. Experiencia en el Hospital R.A. Calderón Guardia. Rev Costarric Cardiol. 2010;12(1-2): 21-4.
Jiménez Quevedo P, Sabaté M. Revascularización coronaria en diabéticos: evidencias, indicaciones y complicaciones. Rev Esp Cardiol. 2007;7(Supl E):41-8.
Pacheco Mejías A, García Rodríguez ME, Montenegro Pacheco A. Manejo del paciente diabético en cirugía. Arch Cir Gen Dig. 2006. [citado 8 feb 2013]. Disponible en: http://www.cirugest.com/htm/revista/2006/13/2006-09-18.htm
Carvalho G, Pelletier P, Albacker T, Lachapelle K, Joanisse DR, Hatzakorzian R, et al. Cardioprotective effects of glucose and insulin administration while maintaining normoglycemia (GIN Therapy) in patients undergoing coronary artery bypass grafting. JCEM. 2011;96:1469-77.
Asociación Latinoamericana de diabetes. Guías ALAD de diagnóstico, control y tratamiento de la diabetes mellitus tipo 2. 2010 [citado 8 feb 2013]. Disponible en: http://www.slideshare.net/MOSQUETERO36/guias-alad-2010-consenso-de-diabetesactualizado
Braunwald E. Diabetes and the cardiovascular system. In: A textbook of Cardiovascular Medicine. 9th ed. 2011. p. 1392-1407.
Rojas Pérez EM, Luna Ortiz P, Serrano Valdez X, Fernández Rivera BJ, de Micheli A. Solución de glucosa-insulina-potasio (GIK): Efectos cardioprotectores de la insulina. Arch Cardiol Méx. 2006;76(Supl.4):144-51.
American Diabetes Association. Standards of Medical Care in Diabetes-2009. Diabetes Care. 2009;32(suppl 1):S13-S61.