Volume 12, Issue 3 (Summer 2023)
aumj 2023, 12(3): 243-257 |
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Haghjoyan N, Ghaem Maghami Z. Relation between pattern prescribed insulin(infusion and sc) and complications after transplant heart surgery in unit care of rajaee heart center. aumj 2023; 12 (3) :243-257
URL: http://aums.abzums.ac.ir/article-1-1743-en.html
URL: http://aums.abzums.ac.ir/article-1-1743-en.html
1- MSc in Icu, center heart rajaee
2- 2- Professor, Department of diabetes rajaee heart center University, Kazerun, Iran
2- 2- Professor, Department of diabetes rajaee heart center University, Kazerun, Iran
Abstract: (972 Views)
Background: The progression of atherosclerosis, which is the main cause of many heart surgeries, find it far more quickly with diabetes because diabetes is the production of c-peptide that causes increased permeability is increased vascular Intimal layer regresses. On the information obtained through x-ray Angio in diabetics the Central plaque is composed of the Atrium and most of the patients with acute coronary syndrome and a heart attack. More than half of diabetics eventually suffer heart symptoms and more than 30 percent of them will eventually need surgery for the annual three million that the world's heart surgery is done when two million people suffering from diabetes and a million people suffering from diabetes and blood pressure simultaneously. Increase insulin Hyperglycemia omghaomet mortality and respiratory cardiac arrest in all diabetic patients.
Methods: A descriptive cross-sectional study : the patient's transplant surgery under the oriented 200 coronary artery disease from the time of admission to the special care unit until a clearance incidence of clinical implications of blood sugar with a glucose infusion and sc in two ways. And in terms of glycemic control and alertness and infection after arterial blood gas changes and acid and Ventilator device for connection to the death, and stay in the special section in the control of blood sugar with plows and postoperative infusion about comparisons and reviews. The information in the check-list was collected by a registered researcher. And using the analytical and descriptive statistics and SPSS software version 15 analysis.
Results and conclusion: in this study, the relationship between significant statistically the pattern was not observed in patients prescribed on this first hypothesis verification research because it was near the average of the blood sugar in the group a significant correlation between Hypokalemia. And acidosand longterm icu unit a with blood sugar was seen striking the infusion group., and the first to accept the significant relationship between the blood sugar and Intubation more than 24 hours and bolous was seen,..
Conclusion: Considering the high prevalence of Helicobacter pylori in people working with clinical signs of enteritis, gastric infection, it can be stated that Helicobacter pylori has an important role in causing enteritis and as a carcinogen in the studied samples. Due to the presence of bacteria that can be transmitted to others, it is necessary to identify and treat human carriers.
Type of Study: Research |
Subject:
Special
Received: 2022/05/09 | Accepted: 2022/08/29 | Published: 2023/09/01
Received: 2022/05/09 | Accepted: 2022/08/29 | Published: 2023/09/01
References
1. Tripathi BK, Srivastava AK. Diabetes mellitus: complications and therapeutics. Med Sci Monit. 2006;12(7):130-47.
2. Mellitus D. Diagnosis and classification of diabetes mellitus. Diabetes care. 2006;29:S43. [DOI:10.2337/diacare.29.s1.06.s43]
3. Kaul K, Tarr JM, Ahmad SI, Kohner EM, Chibber R. Introduction to diabetes mellitus. Diabetes. 2013:1-11. [DOI:10.1007/978-1-4614-5441-0_1]
4. Association AD. Diagnosis and classification of diabetes mellitus. Diabetes care. 2009;32(Supplement_1):S62-S7. [DOI:10.2337/dc09-S062]
5. Alam U, Asghar O, Azmi S, Malik RA. General aspects of diabetes mellitus. Handbook of clinical neurology. 2014;126:211-22. [DOI:10.1016/B978-0-444-53480-4.00015-1]
6. Rizvi AA, Chillag SA, Chillag KJ. Perioperative management of diabetes and hyperglycemia in patients undergoing orthopaedic surgery. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2010;18(7):426-35. [DOI:10.5435/00124635-201007000-00005]
7. Poirier P, Cornier M-A, Mazzone T, Stiles S, Cummings S, Klein S, et al. Bariatric surgery and cardiovascular risk factors: a scientific statement from the American Heart Association. Circulation. 2011;123(15):1683-701. [DOI:10.1161/CIR.0b013e3182149099]
8. Eurich DT, McAlister FA, Blackburn DF, Majumdar SR, Tsuyuki RT, Varney J, et al. Benefits and harms of antidiabetic agents in patients with diabetes and heart failure: systematic review. Bmj. 2007;335(7618):497. [DOI:10.1136/bmj.39314.620174.80]
9. Carson JL, Scholz PM, Chen AY, Peterson ED, Gold J, Schneider SH. Diabetes mellitus increases short-term mortality and morbidity in patients undergoing coronary artery bypass graft surgery. Journal of the American College of Cardiology. 2002;40(3):418-23. [DOI:10.1016/S0735-1097(02)01969-1]
10. Bucerius J, Gummert J, Walther T, Doll N, Falk V, Onnasch J, et al. Impact of diabetes mellitus on cardiac surgery outcome. The Thoracic and cardiovascular surgeon. 2003;51(01):11-6. [DOI:10.1055/s-2003-37280]
11. Poungsombut J, Sindhu S, Thosingha O, Laksanabunsong P. Factors related to complications in postoperative open heart surgery patients during critical period: Mahidol University; 2011.
12. Bhamidipati CM, LaPar DJ, Stukenborg GJ, Morrison CC, Kern JA, Kron IL, et al. Superiority of moderate control of hyperglycemia to tight control in patients undergoing coronary artery bypass grafting. The Journal of thoracic and cardiovascular surgery. 2011;141(2):543-51. [DOI:10.1016/j.jtcvs.2010.10.005]
13. Anderson RJ, Bahn GD, Moritz TE, Kaufman D, Abraira C, Duckworth W, et al. Blood pressure and cardiovascular disease risk in the Veterans Affairs Diabetes Trial. Diabetes care. 2011;34(1):34-8. [DOI:10.2337/dc10-1420]
14. Kelly JL. Continuous insulin infusion: when, where, and how? Diabetes Spectrum. 2014;27(3):218-23. [DOI:10.2337/diaspect.27.3.218]
15. Higgs M, Fernandez R. The effect of insulin therapy algorithms on blood glucose levels in patients following cardiac surgery: A systematic review. JBI Evidence Synthesis. 2015;13(5):205-43. [DOI:10.11124/jbisrir-2015-1911]
16. Ad N, Tran HA, Halpin L, Speir AM, Rongione AJ, Pritchard G, et al. Practice changes in blood glucose management following open heart surgery: from a prospective randomized study to everyday practice. European Journal of Cardio-Thoracic Surgery. 2015;47(4):733-9. [DOI:10.1093/ejcts/ezu205]
17. Umpierrez GE, Smiley D, Jacobs S, Peng L, Temponi A, Mulligan P, et al. Randomized study of basal-bolus insulin therapy in the inpatient management of patients with type 2 diabetes undergoing general surgery (RABBIT 2 surgery). Diabetes care. 2011;34(2):256-61. [DOI:10.2337/dc10-1407]
18. Kumar VA, Ananthakrishnan S, Rasgon SA, Yan E, Burchette R, Dewar K. Comparing cardiac surgery in peritoneal dialysis and hemodialysis patients: perioperative outcomes and two-year survival. Peritoneal dialysis international. 2012;32(2):137-41. [DOI:10.3747/pdi.2010.00263]
19. Ayach T, Nappo RW, Paugh-Miller JL, Ross EA. Postoperative hyperkalemia. European Journal of Internal Medicine. 2015;26(2):106-11. [DOI:10.1016/j.ejim.2015.01.010]
20. Jabbari A, Banihashem N, Alijanpour E, Vafaey HR, Alereza H, Rabiee SM. Serum lactate as a prognostic factor in coronary artery bypass graft operation by on pump method. Caspian journal of internal medicine. 2013;4(2):662.
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