Modern strategies for the anesthetic management of the patient with diabetes.
Diabetes Mellitus (DM) is an endocrine disease with high incidence. Long-term complications involve the eyes, kidneys, nerves, and blood vessels, resulting in hypertension, cardiac ischemia, atherosclerosis, and renal failure, among other syndromes. Given this prevalence, anesthesiologists, especially those who work with older patients, may expect to encounter some aspect of diabetes almost every day. Appropriate preoperative evaluation and rational intraoperative and postoperative management of this complex disease in elective and emergency circumstances are essential. Recent studies have emphasized the need to maintain tight perioperative glycemic control and new guidelines have been presented.
Gautam
Abhinav
A
Louisiana State University Health Science Center, New Orleans, LA, USA.
Baluch
Amir
A
Kaye
Alan D
AD
Kaye
Alan
A
Frost
Elizabeth A M
EA
D000758:Anesthesia / Q000379:methods*; D000777:Anesthetics / Q000009:adverse effects / Q000627:therapeutic use; D048909:Diabetes Complications / Q000503:physiopathology* / Q000628:therapy; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000503:physiopathology* / Q000628:therapy; D005947:Glucose / Q000378:metabolism; D006801:Humans; D006943:Hyperglycemia / Q000503:physiopathology; D019990:Perioperative Care / Q000379:methods; D011300:Preoperative Care / Q000379:methods; D014481:United States / Q000453:epidemiology
D000777:Anesthetics; D005947:Glucose