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Ann Thorac Surg 2009;88:1384-1385. doi:10.1016/j.athoracsur.2009.04.115
© 2009 The Society of Thoracic Surgeons
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Correspondence

Risks of Tight Glycemic Control During Adult Cardiac Surgery

Ann M. Sheehy, MD, MSa, Douglas B. Coursin, MDb, Mark T. Keegan, MDc

a Department of Medicine, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, H6/169, Madison, WI 53792
b Department of Medicine and Anesthesiology, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, H6/169, Madison, WI 53792
c Department of Anesthesiology, Mayo Clinic, 200 First St SW, Rochester, MN 55905

(Email: asr@medicine.wisc.edu; dcoursin@wisc.edu; keegan.mark@mayo.edu).

The first 20% of the full text of this article appears below.

To the Editor:

The recent guidelines of The Society of Thoracic Surgeons Practice Guideline Series on glucose control deserve cautionary comment [1]. Consideration of the adverse events reported by Gandhi and colleagues [2] (STS guideline reference 17), when tight glucose control (TGC) was maintained in cardiac surgical patients intraoperatively seems merited. The incidence and risks of hypoglycemia in TGC protocols in other critically ill adult patients should also be highlighted.

Gandhi and colleagues [2] prospectively randomized 400 diabetic and nondiabetic patients undergoing cardiac surgery to either an intravenous . . . [Full Text of this Article]


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Ann. Thorac. Surg. 88: 1385-1386. [Full Text]



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Ann. Thorac. Surg., October 1, 2009; 88(4): 1385 - 1386.
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