Intraoperative glycemic control procedures and the use of an artificial pancreas

Koichi Yamashita, Tomoaki Yatabe

Research output: Contribution to journalReview articlepeer-review

6 Citations (Scopus)

Abstract

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™; 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.

Original languageEnglish
Pages (from-to)4126-4131
Number of pages6
JournalWorld Journal of Gastroenterology
Volume15
Issue number33
DOIs
Publication statusPublished - 2009
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Gastroenterology

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