Cardiothoracic & vascular anesthesia
Intraoperative glycemic protocol calculator: automation in the OR
Authors' conclusion
Implementation of the IGPC significantly improved real-time adherence to intraoperative glycemic control protocols without increasing adverse glycemic events.
Study context
- Population
- Adults undergoing CABG and/or valve surgery requiring CPB, tertiary care academic hospital
- Participants
- 143 adults
- Exposure
- Intraoperative Glycemic Protocol Calculator (IGPC) implementation vs pre-intervention
- Outcome
- Protocol adherence (appropriate insulin administration within five minutes of glucose measurement)
Methodological detailssingle-centre, before-after (pre- vs post-intervention)
- Single-centre
- Before-after (pre- vs post-intervention)
Main finding
As reported in the abstract
Protocol adherence by intraoperative phase
Pre-CPB adherence
65.5% to 80.2%
On-CPB adherence
53.0% to 75.1%
Post-CPB adherence
34.8% to 58.8%
Observational data: associations, not effects.
Safety
Severe hypoglycaemia
P = 0.772
Intraoperative hyperglycaemia
P = 0.995
Original publication
Intraoperative glycemic protocol calculator: automation in the OR. J Clin Monit Comput. Published 20 November 2025. doi:10.
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