As part of the Society’s increasing focus on quality, the Task Force on Quality Initiatives has created the Recommended Manuscripts Library— a resource for STS membership that provides summaries of pertinent articles relevant to cardiothoracic surgery. These articles will initially focus on quality webinar topics, as well as other quality-related areas.
The following manuscripts describe the role and rationale of glycemic control in cardiac surgery. Recent clinical studies suggest that normoglycemia is not desirable during surgery, but that blood glucose should always be less than 180 – 200 mg/dL. Studies also suggest that normoglycemia in the ICU is the optimal target and has the greatest influence on mortality and overall morbidity.
Some issues not addressed by these articles include:
1. Basic science elucidation of the biochemical basis for BG < 200 mg/dL during surgery and normoglycemia in the ICU.
2. Whether or not hyperglycemia is a cause or symptom among non-survivors.
3. Whether an optimal duration for normoglycemia should be defined or if simple average blood glucose levels are sufficient to improve outcomes.
The STS Task Force on Quality Initiatives hopes STS membership finds the library useful. Please use this form to provide comments and suggestions.