@DETERMINATION OF A STANDARD CURVE FOR BLOOD GLUCOSE LEVELS DURING CARDIOPULMONARY BYPASS

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MOLA SADEGHI ROKABADI GH.A.; FARASAT KISH R.; HABIBI M.; AGHDAEI N.; HEYDARPOUR AVAZ

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Paper Information

Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2003 | Volume:22 | Issue:40 Page(s): 69-77

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Title

@DETERMINATION OF A STANDARD CURVE FOR BLOOD GLUCOSE LEVELS DURING CARDIOPULMONARY BYPASS

Author(s)

Keywords

GLUCOSE STANDARD CURVEQ4

CARDIOPULMONARY BYPASSQ3

SURGICAL STRESSQ4

HYPERGLYCEMIAQ4

SAMPLINGQ3

EVERY 5 MINUTESQ4

ANESTHESIAQ4

Abstract

This study was designed to obtain a standard blood sugar curve in coronary bypass grafting (CABG) surgery patients during CARDIOPULMONARY BYPASS (CPB). Diabetic patients undergoing cardiac surgery had their blood sugar level determined by glucometer every five minutes during CARDIOPULMONARY BYPASS. From 50 patients who entered in the study, 8 of them were excluded and the remaining of 42, completed the study. Blood surgar levels were also determined before and after initiation of CPB. The obtained curve from blood level determinations revealed a gradually increasing slope, reaching a peak during CPB. The curve has 5 parts, point A correlating to the stress of ANESTHESIA and pre-CPB surgery, point B depicting the maximum point of hem dilution, point C correlating to maximum hypothermia, Point D correlating to rewarming phase, and point E depicting hemoconcentation.These five parts correlate well with the various phases of open heart surgery. 10 patients (23.3%) in the study revealed HYPERGLYCEMIA above the acceptable level, and required insulin administration during CPB.

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