Abstract
We have noted marked hyperglycemia(HG) in patients(PTS) undergoing heart surgery(HS). To evaluate the mechanisms for HG paired blood samples were evaluated for glucose(G) and insulin(I) levels in PTS <2 years with hypothermia(HT) and total circulatory arrest (TCA) (Group 1), <2 years with HT and and no TCA (Group 2) and >2 years with HT and no TCA (Group 3). G input was also monitored.
We conclude: (1) Intraoperative infusion of G plays a significant role in HG (2) HT results in significant changes in I (3) PTS >2 years have higher I levels than PTS <2 years in spite of lower G input. We recommend restricted G input in the intraoperative period to prevent HG during HS.
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Francis, P., Benzine, G., Sperling, M. et al. 136 GLUCOSE AND INSULIN CHANGES DURING HEART SURGERY. Pediatr Res 15 (Suppl 4), 462 (1981). https://doi.org/10.1203/00006450-198104001-00145
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DOI: https://doi.org/10.1203/00006450-198104001-00145