Tight Glycaemic Control During Cardiac Surgery

Safety and Efficacy of Tight Glycaemic Control During Cardiac Surgery

To determine whether intraoperative tight glycaemic control can reduce postoperative infection, morbidity and mortality

Hyperglycaemia develops frequently in patients undergoing cardiac surgery, especially following cardiopulmonary bypass (CPB). Recent evidence suggests that acute hyperglycaemia adversely affects immune function, wound healing and cardiovascular function.

Inclusion Criteria:

• age > 15 years
• cardiac surgery with cardiopulmonary bypass

Exclusion Criteria:

• active infection
• insulin allergy
• off-pump cardiopulmonary bypass procedures