Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài:Tight perioperative glucose control is associated with a reduction in renal impairment and renal failure in non-diabetic cardiac surgical patients. | Available online http content 1 2 6 R154 Research Tight perioperative glucose control is associated with a reduction in renal impairment and renal failure in non-diabetic cardiac surgical patients Patrick Lecomte1 Bruno Van Vlem2 Jose Coddens1 Guy Cammu1 Guy Nollet1 Frank Nobels3 Hugo Vanermen4 and Luc Foubert1 1 Department of Anaesthesiology and Critical Care Medicine Onze-Lieve-Vrouw Hospital Moorselbaan 164 9300 Aalst Belgium 2Department of Nephrology Onze-Lieve-Vrouw Hospital Moorselbaan 164 9300 Aalst Belgium 3Department of Endocrinology Onze-Lieve-Vrouw Hospital Moorselbaan 164 9300 Aalst Belgium 4Department of Cardiothoracic and Vascular Surgery Onze-Lieve-Vrouw Hospital Moorselbaan 164 9300 Aalst Belgium Corresponding author Luc Foubert Received 18 Aug 2008 Revisions requested 20 Sep 2008 Revisions received 4 Nov 2008 Accepted 4 Dec 2008 Published 4 Dec 2008 Critical Care 2008 12 R154 doi cc7145 This article is online at http content 12 6 R154 2008 Lecomte et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction Acute renal failure after cardiac surgery increases in-hospital mortality. We evaluated the effect of intra- and postoperative tight control of blood glucose levels on renal function after cardiac surgery based on the Risk Injury Failure Loss and End-stage kidney failure RIFLE criteria and on the need for acute postoperative dialysis. Methods We retrospectively analyzed two groups of consecutive patients undergoing cardiac surgery with cardiopulmonary bypass between August 2004 and June 2006. In the first group no tight glycemic control was implemented Control n 305 . Insulin therapy was initiated at blood glucose .
