Medanta insulin protocols in patients undergoing cardiac surgery
Hyperglycemia is common in patients undergoing cardiac surgery and is associated with poor outcomes. This is a review of the perioperative insulin protocol being used at Medanta, the Medicity, which has a large volume cardiac surgery setup. Preoperatively, patients are usually continued on their pre...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Indian Journal of Endocrinology and Metabolism |
| Subjects: | |
| Online Access: | http://www.ijem.in/article.asp?issn=2230-8210;year=2014;volume=18;issue=4;spage=455;epage=467;aulast=Bansal |
| _version_ | 1819259512549277696 |
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| author | Beena Bansal Ambrish Mithal Pravin Carvalho Yatin Mehta Naresh Trehan |
| author_facet | Beena Bansal Ambrish Mithal Pravin Carvalho Yatin Mehta Naresh Trehan |
| author_sort | Beena Bansal |
| collection | DOAJ |
| description | Hyperglycemia is common in patients undergoing cardiac surgery and is associated with poor outcomes. This is a review of the perioperative insulin protocol being used at Medanta, the Medicity, which has a large volume cardiac surgery setup. Preoperatively, patients are usually continued on their preoperative outpatient medications. Intravenous insulin infusion is intiated postoperatively and titrated using a column method with a choice of 7 scales. Insulin dose is calculated as a factor of blood glucose and patient′s estimated insulin sensitivity. A comparison of this protocol is presented with other commonly used protocols. Since arterial blood gas analysis is done every 4 hours for first two days after cardiac surgery, automatic data collection from blood gas analyzer to a central database enables collection of glucose data and generating glucometrics. Data auditing has helped in improving performance through protocol modification. |
| first_indexed | 2024-12-23T19:11:11Z |
| format | Article |
| id | doaj.art-62763dc1469544039735d8043c7ec822 |
| institution | Directory Open Access Journal |
| issn | 2230-8210 2230-9500 |
| language | English |
| last_indexed | 2024-12-23T19:11:11Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Endocrinology and Metabolism |
| spelling | doaj.art-62763dc1469544039735d8043c7ec8222022-12-21T17:34:28ZengWolters Kluwer Medknow PublicationsIndian Journal of Endocrinology and Metabolism2230-82102230-95002014-01-0118445546710.4103/2230-8210.137486Medanta insulin protocols in patients undergoing cardiac surgeryBeena BansalAmbrish MithalPravin CarvalhoYatin MehtaNaresh TrehanHyperglycemia is common in patients undergoing cardiac surgery and is associated with poor outcomes. This is a review of the perioperative insulin protocol being used at Medanta, the Medicity, which has a large volume cardiac surgery setup. Preoperatively, patients are usually continued on their preoperative outpatient medications. Intravenous insulin infusion is intiated postoperatively and titrated using a column method with a choice of 7 scales. Insulin dose is calculated as a factor of blood glucose and patient′s estimated insulin sensitivity. A comparison of this protocol is presented with other commonly used protocols. Since arterial blood gas analysis is done every 4 hours for first two days after cardiac surgery, automatic data collection from blood gas analyzer to a central database enables collection of glucose data and generating glucometrics. Data auditing has helped in improving performance through protocol modification.http://www.ijem.in/article.asp?issn=2230-8210;year=2014;volume=18;issue=4;spage=455;epage=467;aulast=BansalCardiac surgeryinfusioninsulinprotocol |
| spellingShingle | Beena Bansal Ambrish Mithal Pravin Carvalho Yatin Mehta Naresh Trehan Medanta insulin protocols in patients undergoing cardiac surgery Indian Journal of Endocrinology and Metabolism Cardiac surgery infusion insulin protocol |
| title | Medanta insulin protocols in patients undergoing cardiac surgery |
| title_full | Medanta insulin protocols in patients undergoing cardiac surgery |
| title_fullStr | Medanta insulin protocols in patients undergoing cardiac surgery |
| title_full_unstemmed | Medanta insulin protocols in patients undergoing cardiac surgery |
| title_short | Medanta insulin protocols in patients undergoing cardiac surgery |
| title_sort | medanta insulin protocols in patients undergoing cardiac surgery |
| topic | Cardiac surgery infusion insulin protocol |
| url | http://www.ijem.in/article.asp?issn=2230-8210;year=2014;volume=18;issue=4;spage=455;epage=467;aulast=Bansal |
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