Abstract

RODULFO GARCIA, Maikel; DE DIOS LORENTE, José Arturo; RODRIGUEZ ARIAS, Orestes Dominador  and  TORRALBAS REVERON, Fredy Eladio. Algorithm for the metabolic control of the diabetic patient in the postoperative period of the cardiovascular surgery. MEDISAN [online]. 2014, vol.18, n.7, pp. 1023-1026. ISSN 1029-3019.

The patient with diabetes mellitus frequently presents uncontrolled glycemia levels in the postoperative period of the cardiovascular surgery, due to the metabolic consequences caused by them, either the increase of counter-regulative hormones as the resistance and/or decrease of the insulin levels, caused by the surgical stress to which the organism is exposed. Its control is essential during the surgery and after it, because the clinical course of the affected depends on it; therefore, it is of vital importance to have a guide that allows guidance to maintain the glycemia figures in appropriate values. A therapeutic algorithm of easy use is presented, elaborated in the Cardiovascular Surgery Service of "Saturnino Lora Torres" Clinical Surgical Teaching Provincial Hospital in Santiago de Cuba, with the objective of treating hyperglycemia, which can be generalized to the rest of the institutions in the country

Keywords : cardiovascular surgery; diabetes mellitus; surgical stress; postoperative period; algorithm; secondary health care.

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