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Review
. 2018 Nov-Dec;33(6):618-625.
doi: 10.21470/1678-9741-2018-0147.

Perioperative Management of the Diabetic Patient Referred to Cardiac Surgery

Camila Perez de Souza Arthur  1 , Omar Asdrúbal Vilca Mejía  1 , Gisele Aparecida Lapenna  1 , Carlos Manuel de Almeida Brandão  1 , Luiz Augusto Ferreira Lisboa  1 , Ricardo Ribeiro Dias  1 , Luís Alberto Oliveira Dallan  1 , Pablo Maria Alberto Pomerantzeff  1 , Fabio B Jatene  1
Affiliations
Review

Perioperative Management of the Diabetic Patient Referred to Cardiac Surgery

Camila Perez de Souza Arthur et al. Braz J Cardiovasc Surg. 2018 Nov-Dec.

Abstract

Currently there is a progressive increase in the prevalence of diabetes in a referred for cardiovascular surgery. Benefits of glycemic management (< 180 mg/dL) in diabetic patients compared to patients without diabetes in perioperative cardiac surgery. The purpose of this study is to present recommendations based on international evidence and adapted to our clinical practice for the perioperative management of hyperglycemia in adult patients with and without diabetes undergoing cardiovascular surgery. This update is based on the latest current literature derived from articles and guidelines regarding perioperative management of diabetic patients to cardiovascular surgery.

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Conflict of interest statement

No conflict of interest.

Figures

Fig. 1
Fig. 1
Survival curves after CABG in diabetic patients. Each symbol represents a death at 1, 3, 5, 10, 15, and 20 years after surgery as estimated by Kaplan-Meier. Vertical bars are confidence intervals with standard error of ± 1. Continuous lines are parametric estimates within intermittent lines with standard error ± 1. A: Stratification by both ITAs (BITA and SITA) isolated and only saphenous vein (SVG). B: Stratification according to complete versus incomplete revascularization. C: Stratification according to CABG with ECC (onpump) and CABG without ECC (off-pump) [29]. BITA=bilateral internal thoracic artery; CABG=coronary artery bypass grafting; ECC=extracorporeal circulation; ITA=internal thoracic artery; SITA=single internal thoracic artery; SVG=saphenous vein grafting
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References

    1. Peters A, Kerner W. Perioperative management of the diabetic patient. Exp Clin Endocrinol Diabetes. 1995;103(4):213–218. - PubMed
    1. Szabó Z, Hakanson E, Svedjeholm R. Early postoperative outcome and medium-term survival in 540 diabetic and 2239 nondiabetic patients undergoing coronary artery bypass grafting. Ann Thorac Surg. 2002;74(3):712–719. - PubMed
    1. Carson JL, Scholz PM, Chen AY, Peterson ED, Gold J, Schneider SH. Diabetes mellitus increases short-term mortality and morbidity in patients undergoing coronary artery bypass graft surgery. J Am Coll Cardiol. 2002;40(3):418–423. - PubMed
    1. McAlister FA, Man J, Bistritz L, Amad H, Tandon P. Diabetes and coronary artery bypass surgery: an examination of perioperative glycemic control and outcomes. Diabetes Care. 2003;26(5):1518–1524. - PubMed
    1. Gandhi GY, Nuttall GA, Abel MD, Mullany CJ, Schaff HV, Williams BA, et al. Intraoperative hyperglycemia and perioperative outcomes in cardiac surgery patients. Mayo Clin Proc. 2005;80(7):862–866. - PubMed

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