Glycemic Control in Coronary Artery Bypass Graft Surgery: A Diﬀ erent Perspective (Brief Report)

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IMANTALAB VALI; SEDIGHINEJAD ABBAS; MOHAMMADZADEH JOURYABI ALI; BIAZAR GELAREH; KANANI GHOLAMREZA; HAGHIGHI MOHAMMAD; FAYAZI HANIYEH SADAT; Ghasvareh Golnoosh

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Journal: Anesthesiology and Pain Medicine Year:2021 | Volume:11 | Issue:6 Page(s): 0-0

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Title

Glycemic Control in Coronary Artery Bypass Graft Surgery: A Diﬀ erent Perspective (Brief Report)

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Keywords

Blood Glucose

Coronary Artery Bypass Surgery

Coronary Sinus

Abstract

Background: Hyperglycemia during coronary artery bypass graft surgery (CABG) strongly predicts intra-and post-operative adverse consequences. Objectives: This study aimed to evaluate the quality of glycemic management during CABG in an academic center regarding peripheral blood and Coronary Sinus values. Methods: This prospective descriptive study encompassed 55 eligible patients undergoing on-pump CABG surgery in 2020. Peripheral Blood Glucose (BG) was measured four times, before anesthesia induction (T0), before cardiopulmonary bypass pump (CPB) (T1), during CPB (T2), at the end of CPB (T3), and at the end of surgery (T4). The surgeon also took a sample of the Coronary Sinus BG. Results: The BG variations from T0 to T4 were statistically signiﬁ cant (P < 0. 0001). The higher values detected in the ASA class III compared to ASA classes II were statistically signiﬁ cant at T1 (P = 0. 01) and T2 (P = 0. 025): patients with the higher BMI showed the higher levels of BG. In this regard, the diﬀ erences were signiﬁ cant at T0 (P = 0. 0001), T2 (P = 0. 004), and T3 (P = 0. 015). Regarding Coronary Sinus, the mean BG was 222. 18 75. 74 mg/dL. It was also observed that the ASA class III (P = 0. 001), longer duration of CPB (P = 0. 021), higher IV ﬂ uid volume administrated during surgery (P = 0. 023), higher BMI (P = 0. 0001), and less urine volume at the end of surgery (P = 0. 049) were signiﬁ cantly associated with the higher BG of the Coronary Sinus. Conclusions: The existing glycemic management protocols on the CABG patients were acceptable in our hospital. However, the BG level of the Coronary Sinus was higher than the peripheral one.

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APA: Copy

IMANTALAB, VALI, SEDIGHINEJAD, ABBAS, MOHAMMADZADEH JOURYABI, ALI, BIAZAR, GELAREH, KANANI, GHOLAMREZA, HAGHIGHI, MOHAMMAD, FAYAZI, HANIYEH SADAT, & Ghasvareh, Golnoosh. (2021). Glycemic Control in Coronary Artery Bypass Graft Surgery: A Diﬀ erent Perspective (Brief Report). ANESTHESIOLOGY AND PAIN MEDICINE, 11(6), 0-0. SID. https://sid.ir/paper/975690/en

Vancouver: Copy

IMANTALAB VALI, SEDIGHINEJAD ABBAS, MOHAMMADZADEH JOURYABI ALI, BIAZAR GELAREH, KANANI GHOLAMREZA, HAGHIGHI MOHAMMAD, FAYAZI HANIYEH SADAT, Ghasvareh Golnoosh. Glycemic Control in Coronary Artery Bypass Graft Surgery: A Diﬀ erent Perspective (Brief Report). ANESTHESIOLOGY AND PAIN MEDICINE[Internet]. 2021;11(6):0-0. Available from: https://sid.ir/paper/975690/en

IEEE: Copy

VALI IMANTALAB, ABBAS SEDIGHINEJAD, ALI MOHAMMADZADEH JOURYABI, GELAREH BIAZAR, GHOLAMREZA KANANI, MOHAMMAD HAGHIGHI, HANIYEH SADAT FAYAZI, and Golnoosh Ghasvareh, “Glycemic Control in Coronary Artery Bypass Graft Surgery: A Diﬀ erent Perspective (Brief Report),” ANESTHESIOLOGY AND PAIN MEDICINE, vol. 11, no. 6, pp. 0–0, 2021, [Online]. Available: https://sid.ir/paper/975690/en

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