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Intravenous glucose–insulin–potassium during off-pump coronary artery bypass surgery does not reduce myocardial injury

DC Field Value Language
dc.contributor.author곽영란-
dc.contributor.author권태동-
dc.contributor.author남상범-
dc.contributor.author심연희-
dc.contributor.author이종화-
dc.date.accessioned2015-06-10T13:01:19Z-
dc.date.available2015-06-10T13:01:19Z-
dc.date.issued2006-
dc.identifier.issn0001-5172-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/110864-
dc.description.abstractBackground:  This randomized, double-blind, placebo-controlled study was designed to determine whether an intra-operative, intravenous infusion of glucose–insulin–potassium (GIK) could be helpful in the prevention of myocardial ischemia and in the maintenance of intra-operative cardiac performance in patients undergoing off-pump coronary artery bypass (OP-CAB) surgery. Methods:  Eighty two adults undergoing elective OP-CAB surgery were randomly divided into two groups that received intravenously either 5% dextrose in water or GIK (50% dextrose in 500 ml of water; regular insulin, 125 IU; potassium, 80 mmol) at 0.75 ml/kg/h immediately before the induction of anesthesia to the end of surgery. To evaluate myocardial damage, creatine kinase MB and troponin T were measured before surgery, immediately after arrival in the intensive care unit and on the first post-operative day. To assess cardiac performance, hemodynamic data were obtained before and after the induction of anesthesia, before and after the bypass graft and after sternal closure. Blood glucose was measured at the same time. Results:  There was no significant difference in cardiac enzymes, hemodynamic parameters and blood glucose between the two groups. The use of vasoactive, inotropic and/or anti-arrhythmic agents, insulin and supplemental glucose was not significantly different between the groups. Conclusion:  The results suggest that the intravenous administration of GIK during OP-CAB surgery neither reduces myocardial damage nor improves intra-operative cardiac performance in patients without contractile dysfunction.-
dc.description.statementOfResponsibilityopen-
dc.format.extent954~961-
dc.relation.isPartOfACTA ANAESTHESIOLOGICA SCANDINAVICA-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHBlood Glucose/analysis-
dc.subject.MESHCardioplegic Solutions/administration & dosage*-
dc.subject.MESHCoronary Artery Bypass, Off-Pump*-
dc.subject.MESHCreatine Kinase, MB Form/blood-
dc.subject.MESHDouble-Blind Method-
dc.subject.MESHFemale-
dc.subject.MESHGlucose/administration & dosage*-
dc.subject.MESHHeart/drug effects-
dc.subject.MESHHumans-
dc.subject.MESHInfusions, Intravenous-
dc.subject.MESHInsulin/administration & dosage-
dc.subject.MESHIntraoperative Care-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMyocardial Ischemia/prevention & control*-
dc.subject.MESHPotassium/administration & dosage-
dc.subject.MESHProspective Studies-
dc.subject.MESHTroponin T/blood-
dc.titleIntravenous glucose–insulin–potassium during off-pump coronary artery bypass surgery does not reduce myocardial injury-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Anesthesiology (마취통증의학)-
dc.contributor.googleauthorY. H. Shim-
dc.contributor.googleauthorT. D. Kweon-
dc.contributor.googleauthorJ. H. Lee-
dc.contributor.googleauthorS. B. Nam-
dc.contributor.googleauthorY. L. Kwak-
dc.identifier.doi10.1111/j.1399-6576.2006.01115.x-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00172-
dc.contributor.localIdA00255-
dc.contributor.localIdA01253-
dc.contributor.localIdA02196-
dc.contributor.localIdA03154-
dc.relation.journalcodeJ00006-
dc.identifier.eissn1399-6576-
dc.identifier.pmid16923090-
dc.identifier.urlhttp://onlinelibrary.wiley.com/doi/10.1111/j.1399-6576.2006.01115.x/abstract-
dc.subject.keywordcardiac enzyme-
dc.subject.keywordcardiac performance-
dc.subject.keywordcoronary artery bypass surgery-
dc.subject.keywordglucose–insulin–potassium-
dc.subject.keywordmyocardial damage-
dc.subject.keywordoff‐pump-
dc.contributor.alternativeNameKwak, Young Lan-
dc.contributor.alternativeNameKweon, Tae Dong-
dc.contributor.alternativeNameNam, Sang Beom-
dc.contributor.alternativeNameShim, Yon Hee-
dc.contributor.alternativeNameLee, Jong Wha-
dc.contributor.affiliatedAuthorKwak, Young Lan-
dc.contributor.affiliatedAuthorKweon, Tae Dong-
dc.contributor.affiliatedAuthorNam, Sang Beom-
dc.contributor.affiliatedAuthorShim, Yon Hee-
dc.contributor.affiliatedAuthorLee, Jong Wha-
dc.rights.accessRightsnot free-
dc.citation.volume50-
dc.citation.number8-
dc.citation.startPage954-
dc.citation.endPage961-
dc.identifier.bibliographicCitationACTA ANAESTHESIOLOGICA SCANDINAVICA, Vol.50(8) : 954-961, 2006-
dc.identifier.rimsid54918-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers

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