Anaesthetic implications of long term diabetic complications.
A case history in which a patient suffering from long-term diabetes mellitus underwent vascular surgery of a lower extremity is presented. Anaesthesia was commenced with an epidural anaesthesia, but due to insufficient analgesia combined with a high thoracal block general anaesthesia was added. The course was complicated because of cardiomyopathy, autonomic neuropathy, difficult laryngoscopy, aspiration of gastric content, and acute renal failure. Anaesthetic implications of long-term diabetes mellitus are discussed.
Jørgensen
B G
BG
Department of Anaesthesia, Gentofte Hospital, University of Copenhagen, Hellerup, Denmark.
Holm
H E
HE
D058186:Acute Kidney Injury / Q000209:etiology; D000767:Anesthesia, Epidural; D000768:Anesthesia, General; D001342:Autonomic Nervous System Diseases / Q000150:complications; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D003929:Diabetic Neuropathies / Q000150:complications; D005528:Foot / Q000098:blood supply; D006331:Heart Diseases / Q000150:complications; D006801:Humans; D007511:Ischemia / Q000601:surgery; D007828:Laryngoscopy; D008297:Male; D008875:Middle Aged; D011015:Pneumonia, Aspiration / Q000209:etiology