Importance of Perioperative Glycemic Control in General Surgery

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Importance of perioperative glycemic control in general surgery: a report from the Surgical Care and Outcomes Assessment Program.

OBJECTIVE To determine the relationship of perioperative hyperglycemia and insulin administration on outcomes in elective colon/rectal and bariatric operations. BACKGROUND There is limited evidence to characterize the impact of perioperative hyperglycemia and insulin on adverse outcomes in patients, with and without diabetes, undergoing general surgical procedures. METHODS The Surgical Care...

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Creating a Perioperative Glycemic Control Program

Hyperglycemia in the surgical population is a recognized risk factor for postoperative complications; however, there is little literature to date regarding the management of hyperglycemia in the perioperative period. Here, we detail the strategies that our institutions have employed to identify and treat hyperglycemia in patients with diabetes who present for surgery. Our approach focuses on th...

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Perioperative glycemic control: an evidence-based review.

Hyperglycemia in perioperative patients has been identified as a risk factor for morbidity and mortality. Intensive insulin therapy (IIT) has been shown to reduce morbidity and mortality among the critically ill, decrease infection rates and improve survival after cardiac surgery, and improve outcomes in acute neurologic injury and acute myocardial infarction. However, recent evidence of severe...

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Glycemic Control in Cardiac Surgery

Martín Martínez Rosas1, Eduardo Wilfrido Goicoechea-Turcott2, Pastor Luna Ortiz3, Alberto Salazar4 and Benito Antón Palma4 1Physiology Department, National Institute of Cardiology “Ignacio Chavez”, Mexico, D.F 2Faculty of Medicine, National Autonomous University of Mexico (UNAM), Mexico, D.F 3Pharmacology Department, National Institute of Cardiology “Ignacio Chavez”, Mexico, D.F 4Laboratory of ...

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Pharmacist glycemic control team improves quality of glycemic control in surgical patients with perioperative dysglycemia.

CONTEXT Perioperative hyperglycemia is a risk factor for increased morbidity and mortality. Improved glycemic control has been demonstrated to reduce surgical site infections, reduce perioperative morbidity, and reduce length of stay. However, safe and effective perioperative glycemic control can be limited by expert clinician availability. OBJECTIVE To improve quality by reliably providing s...

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 2013

ISSN: 0003-4932

DOI: 10.1097/sla.0b013e31827b6bbc