Evidence-based guidelines for perioperative management of diabetes in cardiac and vascular surgery

World J Surg. 2010 Mar;34(3):500-13. doi: 10.1007/s00268-009-0380-0.

Abstract

Background: Management of patients with hyperglycaemia undergoing vascular and cardiac surgery is important, with mounting evidence that hyperglycaemia in this setting is associated with worse outcomes. Evidence-based guidelines for the management of these patients have been limited.

Methods/results: Our institution was aware of the lack of standardization of care in this growing population group and formed a multidisciplinary guideline development group to develop evidence-based guidelines to standardize the perioperative management of hyperglycaemia.

Conclusion: This series of articles outlines the process of developing evidence-based guidelines and the recommendations for perioperative management of patients with hyperglycaemia and diabetes undergoing cardiac and vascular surgery at our institution.

Publication types

  • Practice Guideline

MeSH terms

  • Cardiovascular Surgical Procedures*
  • Diabetes Mellitus / drug therapy*
  • Evidence-Based Medicine*
  • Humans
  • Hyperglycemia / drug therapy*
  • Perioperative Care
  • Postoperative Complications / prevention & control*
  • Practice Guidelines as Topic / standards