On the Management of Hyperglycaemia in Critically Ill Patients Undergoing Surgery

Iakovos Nomikos, Maria Kyriazi, Dimitra Vamvakopoulou, Andreas Sidiropoulos, Athanasios Apostolou, Aspasia Kyritsaka, Evangelos Athanassiou, Nikolaos C. Vamvakopoulos

Abstract


Hyperglycaemia is a major health risk and a negative determinant of surgical outcome. Despite its increasing prevalence, the limited treatments for restoration of normoglycaemia make its effective management a highly complex individualized clinical art. In this context, we review the mechanisms leading to hyperglycaemic damage as the basis for effective management of surgical complications of diabetic and non diabetic critically ill patients.




doi:10.4021/jocmr604w

Keywords


Hyperglycaemia; Surgical complications; Critically ill patients

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