Circulatory System Nutritional, Metabolic, Endocrine Surgery Cardiology Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • All urgent cases of coronary artery bypass surgery whether isolated or combined with mitral valve surgery. • Uncontrolled diabetes mellitus with Hb A1C >7.0 • ASA physical status 2-5 • Sex (males and females) • Age 18-70 years.
Exclusion criteria
Exclusion criteria: • Patients are refusing to participate in the study. • Below 18 or above 60 years. • Patients with preoperative abnormal hepatic profiles identified by double average values of ALT/AST or bilirubin or hypoalbuminemia • Patients with preoperative renal impairment identified by serum creatinine of more than 1.7 mg/dL • Patient with a history of malignant tumors.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean intraoperative glucose level. | — |
Secondary
| Measure | Time frame |
|---|---|
| • Perioperative dynamic of troponin I ;• Total insulin infusion in first 24 hours;• Incidence of diabetic ketoacidosis | — |
Countries
Egypt
Contacts
lecturer of anesthesia faculty of medicine Ain Shams university