Intensive Intraoperative Insulin Therapy versus Conventional Glucose Management during Cardiac Surgery

  1. Ferran Rius, MD; and
  2. Didac Mauricio, MD, PhD
  1. From Hospital Universitari Arnau de Vilanova de Lleida, 25198 Lleida, Spain.

    TO THE EDITOR:

    The results of a nicely planned and performed randomized, controlled trial were recently published in the article by Gandhi and colleagues (1). The study has a relevant message for routine clinical practice, preventing clinicians from introducing tight blood glucose control during cardiac surgery. We agree with the main conclusions from the study about the lack of benefit of intensive insulin therapy during cardiac surgery, although it is not …

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