Cardiac Surgery Clinical Trial
Official title:
The Effect of Hyperinsulinemic Glucose Control on Outcomes Following Cardiac Surgery
Patients undergoing cardiac surgery will be randomized into one of two groups. Group A will be administered insulin using the hyperinsulinemic-normoglycemic clamp to normalize blood glucose levels intra-operatively. Group B will be administered insulin at the standard of care levels established by the participating institution. Patients will be followed at 10 days, 15 days and one year post-operatively.
Using a randomized, controlled design, we propose to test the primary hypothesis that
normalization of blood glucose using a hyperinsulinemic-normoglycemic clamp technique reduces
the risk of a composite outcome (one or more) of 30-day postoperative mortality and serious
postoperative cardiac, renal, neurologic, and infectious postoperative complications in
patients undergoing cardiac surgery.
Our secondary hypothesis is that hyperinsulinemic normoglycemic therapy will reduce length of
stay in intensive care unit, atrial dysrhythmias, creatinine elevation, hospital readmission,
all-cause and cardiac one-year mortality.
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