Intraoperative glycemic control procedures and the use of an artificial pancreas  

作　　者：Koichi Yamashita Tomoaki Yatabe 

机构地区：[1]Department of Anesthesiology and Critical Care Medicine,Kochi Medical School

出　　处：《World Journal of Gastroenterology》2009年第33期4126-4131,共6页世界胃肠病学杂志（英文版）

摘　　要：Strict intraoperative glycemic control can significantly decrease the incidence of postoperative infection; however, anesthesiologists must carefully control blood glucose levels as well as properly manage the respiratory and cardiovascular systems. However, standard blood glucose measurement systems and insulin dosing algorithms, which are necessary for achieving strict glycemic control, have not yet been developed. An artificial pancreas (STG-22TM; Nikkiso Co., Tokyo, Japan) is considered a highly accurate blood glucose monitoring system capable of closed-loop control of blood glucose. The device has, however, many problems to be addressed since it is a large and expensive system with little versatility, and it requires a large amount of blood to be collected. Therefore, the development of less invasive and inexpensive systems with future technological progress is greatly anticipated.Strict intraoperative glycemic control can significantly decrease the incidence of postoperative infection; however, anesthesiologists must carefully control blood glucose levels as well as properly manage the respiratory and cardiovascular systems. However, standard blood glucose measurement systems and insulin dosing algorithms, which are necessary for achieving strict glycemic control, have not yet been developed. An artificial pancreas （STG-22^TM; Nikkiso Co., Tokyo, Japan） is considered a highly accurate blood glucose monitoring system capable of closedloop control of blood glucose. The device has, however, many problems to be addressed since it is a large and expensive system with little versatility, and it requires a large amount of blood to be collected. Therefore, the development of less invasive and inexpensive systems with future technological progress is greatly anticipated.

关 键 词：Strict glycemic control Artificial pancreas ANESTHESIOLOGIST Sliding scale 

分 类 号：R576[医药卫生—消化系统]