Perioperative Blood Glucose Level and Postoperative Complications in Pediatric Cardiac Surgery

Detalhes bibliográficos
Autor(a) principal: Alves, Rodrigo Leal
Data de Publicação: 2011
Outros Autores: Cerqueira, Macius Pontes, Kraychete, Nadja Cecília de Castro, Campos, Guilherme Oliveira, Martins, Marcelo de Jesus, Módolo, Norma Sueli Pinheiro
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://www.repositorio.ufba.br/ri/handle/ri/5462
Resumo: p.372-379.
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spelling Alves, Rodrigo LealCerqueira, Macius PontesKraychete, Nadja Cecília de CastroCampos, Guilherme OliveiraMartins, Marcelo de JesusMódolo, Norma Sueli PinheiroAlves, Rodrigo LealCerqueira, Macius PontesKraychete, Nadja Cecília de CastroCampos, Guilherme OliveiraMartins, Marcelo de JesusMódolo, Norma Sueli Pinheiro2012-02-25T21:16:53Z2012-02-25T21:16:53Z20111678-417http://www.repositorio.ufba.br/ri/handle/ri/546297(5)p.372-379.Background: Anesthesia for pediatric cardiac surgery is systematically performed in severely ill patients under abnormal physiological conditions. In the intraoperative period, there are significant variations in blood volume, body temperature, plasma composition, and tissue blood flow, in addition to activation of inflammation, with important consequences. Serial measurements of blood glucose levels can indicate states of exacerbation of the neuroendocrine-metabolic response to trauma, serving as prognostic markers of morbidity in that population. Objective: To correlate perioperative blood glucose levels of children undergoing cardiac surgery with the occurrence of postoperative complications, and to compare intraoperative blood glucose levels according to perioperative conditions. Methods: Information regarding the surgical/anesthetic procedure and perioperative conditions of patients was collected from the medical records. The mean perioperative blood glucose levels in the groups of patients with and without postoperative complications and the frequencies of perioperative conditions were compared by use of odds ratio and non-parametric univariate analyses. Results: Higher intraoperative blood glucose levels were observed in individuals who had postoperative complications. Prematurity, age group, type of anesthesia, and character of the procedure did not influence the mean intraoperative blood glucose level. The use of extracorporeal circulation (ECC) was associated with higher blood glucose levels during surgery. In procedures with ECC, higher blood glucose levels were observed in individuals who had infectious and cardiovascular complications. In surgeries without ECC, that association was observed with infectious and hematological complications. Conclusion: Higher intraoperative blood glucose levels are associated with higher morbidity in the postoperative period of pediatric cardiac surgery.Submitted by Ana Valéria de Jesus Moura (anavaleria_131@hotmail.com) on 2012-02-25T21:16:53Z No. of bitstreams: 1 Perioperative blood glucose level and postoperative complications in pediatric cardiac surgery.pdf: 532465 bytes, checksum: 527ec2eff5350db0bbf660c3f450d809 (MD5)Made available in DSpace on 2012-02-25T21:16:53Z (GMT). No. of bitstreams: 1 Perioperative blood glucose level and postoperative complications in pediatric cardiac surgery.pdf: 532465 bytes, checksum: 527ec2eff5350db0bbf660c3f450d809 (MD5) Previous issue date: 2011Heart defectscongenitalthoracic surgerypostoperative complicationsblood glucosePerioperative Blood Glucose Level and Postoperative Complications in Pediatric Cardiac SurgeryArquivos Brasileiros de Cardiologiainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleengreponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAinfo:eu-repo/semantics/openAccessORIGINALPerioperative blood glucose level and postoperative complications in pediatric cardiac surgery.pdfPerioperative blood glucose level and postoperative complications in pediatric cardiac surgery.pdfapplication/pdf532465https://repositorio.ufba.br/bitstream/ri/5462/1/Perioperative%20blood%20glucose%20level%20and%20postoperative%20complications%20in%20pediatric%20cardiac%20surgery.pdf527ec2eff5350db0bbf660c3f450d809MD51LICENSElicense.txtlicense.txttext/plain1762https://repositorio.ufba.br/bitstream/ri/5462/2/license.txt1b89a9a0548218172d7c829f87a0eab9MD52TEXTPerioperative blood glucose level and postoperative complications in pediatric cardiac surgery.pdf.txtPerioperative blood glucose level and postoperative complications in pediatric cardiac surgery.pdf.txtExtracted texttext/plain37911https://repositorio.ufba.br/bitstream/ri/5462/3/Perioperative%20blood%20glucose%20level%20and%20postoperative%20complications%20in%20pediatric%20cardiac%20surgery.pdf.txt4dd7c769f4696219b7be787b2529c52bMD53ri/54622022-07-05 14:03:21.266oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:03:21Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Perioperative Blood Glucose Level and Postoperative Complications in Pediatric Cardiac Surgery
dc.title.alternative.pt_BR.fl_str_mv Arquivos Brasileiros de Cardiologia
title Perioperative Blood Glucose Level and Postoperative Complications in Pediatric Cardiac Surgery
spellingShingle Perioperative Blood Glucose Level and Postoperative Complications in Pediatric Cardiac Surgery
Alves, Rodrigo Leal
Heart defects
congenital
thoracic surgery
postoperative complications
blood glucose
title_short Perioperative Blood Glucose Level and Postoperative Complications in Pediatric Cardiac Surgery
title_full Perioperative Blood Glucose Level and Postoperative Complications in Pediatric Cardiac Surgery
title_fullStr Perioperative Blood Glucose Level and Postoperative Complications in Pediatric Cardiac Surgery
title_full_unstemmed Perioperative Blood Glucose Level and Postoperative Complications in Pediatric Cardiac Surgery
title_sort Perioperative Blood Glucose Level and Postoperative Complications in Pediatric Cardiac Surgery
author Alves, Rodrigo Leal
author_facet Alves, Rodrigo Leal
Cerqueira, Macius Pontes
Kraychete, Nadja Cecília de Castro
Campos, Guilherme Oliveira
Martins, Marcelo de Jesus
Módolo, Norma Sueli Pinheiro
author_role author
author2 Cerqueira, Macius Pontes
Kraychete, Nadja Cecília de Castro
Campos, Guilherme Oliveira
Martins, Marcelo de Jesus
Módolo, Norma Sueli Pinheiro
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Alves, Rodrigo Leal
Cerqueira, Macius Pontes
Kraychete, Nadja Cecília de Castro
Campos, Guilherme Oliveira
Martins, Marcelo de Jesus
Módolo, Norma Sueli Pinheiro
Alves, Rodrigo Leal
Cerqueira, Macius Pontes
Kraychete, Nadja Cecília de Castro
Campos, Guilherme Oliveira
Martins, Marcelo de Jesus
Módolo, Norma Sueli Pinheiro
dc.subject.por.fl_str_mv Heart defects
congenital
thoracic surgery
postoperative complications
blood glucose
topic Heart defects
congenital
thoracic surgery
postoperative complications
blood glucose
description p.372-379.
publishDate 2011
dc.date.issued.fl_str_mv 2011
dc.date.accessioned.fl_str_mv 2012-02-25T21:16:53Z
dc.date.available.fl_str_mv 2012-02-25T21:16:53Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://www.repositorio.ufba.br/ri/handle/ri/5462
dc.identifier.issn.none.fl_str_mv 1678-417
dc.identifier.number.pt_BR.fl_str_mv 97(5)
identifier_str_mv 1678-417
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url http://www.repositorio.ufba.br/ri/handle/ri/5462
dc.language.iso.fl_str_mv eng
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dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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