PMID: 3046412Jul 1, 1988

Diabetes mellitus and anaesthesia. A survey of the peri-operative management of the patient with diabetes mellitus

Anaesthesia
J M DunnetJ W Sear

Abstract

A variety of methods are currently available for the management of the diabetic patient in the peri-operative period. A questionnaire about current clinical practice was sent to all anaesthetists in the Oxford region. The majority reported that minor surgery in both insulin treated and noninsulin treated diabetic patients warranted no intervention other than avoidance of meals and medication before surgery, and that, for major surgery, a glucose-insulin-potassium infusion should be used. Fifty one out of 71 respondents in the junior staff grades preferred this latter approach for intermediate surgical procedures in insulin treated patients compared with 27 out of 69 of the consultant staff. Most anaesthetists aimed for blood glucose levels of 7-13 mmol/litre in the peri-operative period. The literature is also reviewed.

References

Mar 28, 1975·Science·T B StromC B Carpenter
Jul 1, 1979·British Journal of Anaesthesia·K G Alberti, D J Thomas
Feb 14, 1977·JAMA : the Journal of the American Medical Association·U TaitelmanA N Bessman
Jan 1, 1986·Diabetic Medicine : a Journal of the British Diabetic Association·D J HusbandK G Alberti
Aug 10, 1985·British Medical Journal·J CurranA M Jennings
Oct 1, 1985·The British Journal of Surgery·A HjortrupH Kehlet
Jun 1, 1972·The American Journal of the Medical Sciences·J D BagdadeR J Bulger
Jul 1, 1984·Anaesthesia·G M Hall
Feb 1, 1963·The American Journal of Medicine·J A GALLOWAY, C R SHUMAN

Citations

Oct 6, 1997·Endocrinology and Metabolism Clinics of North America·I B Hirsch, D S Paauw
Mar 29, 2001·Journal of Diabetes and Its Complications·D DazziA Pezzarossa
May 1, 1995·Acta Anaesthesiologica Scandinavica·B G Jørgensen, H E Holm
Apr 1, 1992·Diabetic Medicine : a Journal of the British Diabetic Association·J D ClarkM Hartog
Apr 9, 2002·Journal of Chromatography. B, Analytical Technologies in the Biomedical and Life Sciences·M I González MartiA L Garzón Cuadrado
Dec 1, 1993·Anaesthesia and Intensive Care·K O Sun

Related Concepts

glucose-insulin-potassium cardioplegic solution
Anesthesia Procedures
Anesthesiology
Blood Glucose
Diabetes, Autoimmune
Diabetes Mellitus, Non-Insulin-Dependent
Glucose, (beta-D)-Isomer
Novolin
Potassium
Starvation

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