Intensive Intraoperative Insulin Therapy versus Conventional Glucose Management during Cardiac Surgery
Authors: Ferran Rius, Didac Mauricio
Journal: Annals of Internal Medicine (2007)

Letters2 October 2007Intensive Intraoperative Insulin Therapy versus Conventional Glucose Management during Cardiac SurgeryFerran Rius, MD and Didac Mauricio, MD, PhDFerran Rius, MDFrom Hospital Universitari Arnau de Vilanova de Lleida, 25198 Lleida, Spain.Search for more papers by this author and Didac Mauricio, MD, PhDFrom Hospital Universitari Arnau de Vilanova de Lleida, 25198 Lleida, Spain.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-147-7-200710020-00018 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:The results of a nicely planned and performed randomized, controlled trial were recently published in the article by Gandhi and colleagues (1). The study has a relevant message for routine clinical practice, preventing clinicians from introducing tight blood glucose control during cardiac surgery. We agree with the main conclusions from the study about the lack of benefit of intensive insulin therapy during cardiac surgery, although it is not a surprising finding, as stated in the editorial by Van den Berghe (2).As the editorialist pointed out (2), the increase in mortality is not significant and may be ...References1. Gandhi GY, Nuttall GA, Abel MD, Mullany CJ, Schaff HV, O'Brien PC, et al. Intensive intraoperative insulin therapy versus conventional glucose management during cardiac surgery: a randomized trial. Ann Intern Med. 2007;146:233-43. [PMID: 17310047] LinkGoogle Scholar2. Van den Berghe G. Does tight blood glucose control during cardiac surgery improve patient outcome? [Editorial]. Ann Intern Med. 2007;146:307-8. [PMID: 17310055] LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Hospital Universitari Arnau de Vilanova de Lleida, 25198 Lleida, Spain. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoIntensive Intraoperative Insulin Therapy versus Conventional Glucose Management during Cardiac Surgery Gunjan Y. Gandhi , Gregory A. Nuttall , Martin D. Abel , Charles J. Mullany , Hartzell V. Schaff , Peter C. O'Brien , Matthew G. Johnson , Arthur R. Williams , Susanne M. Cutshall , Lisa M. Mundy , Robert A. Rizza , and M. Molly McMahon Does Tight Blood Glucose Control during Cardiac Surgery Improve Patient Outcome? Greet Van den Berghe Intensive Intraoperative Insulin Therapy versus Conventional Glucose Management during Cardiac Surgery Gunjan Y. Gandhi , Gregory A. Nuttall , and Martin D. Abel Intensive Intraoperative Insulin Therapy versus Conventional Glucose Management during Cardiac Surgery George Carvalho and Thomas Schricker Intensive Intraoperative Insulin Therapy versus Conventional Glucose Management during Cardiac Surgery Ragheb Assaly and Robert H. Habib Metrics Cited byAssociation Between Perioperative Glycemic Control Strategy and Mortality in Patients With Diabetes Undergoing Cardiac Surgery: A Systematic Review and Meta-Analysis 2 October 2007Volume 147, Issue 7Page: 521KeywordsBloodCardiac surgeryCerebrovascular diseasesConflicts of interestDrug regulationDrugsGlucoseInsulinStroke ePublished: 2 October 2007 Issue Published: 2 October 2007 Copyright & PermissionsCopyright © 2007 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...