Perioperative Glucose Control

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Perioperative control of blood glucose

This review mainly focuses on the management of type 2 diabetes in the preoperative setting with a special emphasis on intraoperative glycemic control. Some patients learn their diagnosis of diabetes just prior to the surgery. The prevalence of previously undiagnosed diabetes is reported to be 5.2-10% in literature. Treatment protocols must be tailored individually but evidence based approach i...

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Perioperative Glucose Control in Neurosurgical Patients

Many neurosurgery patients may have unrecognized diabetes or may develop stress-related hyperglycemia in the perioperative period. Diabetes patients have a higher perioperative risk of complications and have longer hospital stays than individuals without diabetes. Maintenance of euglycemia using intensive insulin therapy (IIT) continues to be investigated as a therapeutic tool to decrease morbi...

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Perioperative glucose control: what is enough?

TYPE 2 diabetes mellitus, impaired fasting glucose/impaired glucose tolerance, and stress-induced hyperglycemia (SIH) are ubiquitous in the adult population and represent major public health concerns. Almost 10% of adult Americans have type 2 diabetes mellitus, an additional 20–25% have impaired glucose tolerance/impaired fasting glucose, and an unknown number develop SIH. Upwards of one third ...

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Perioperative control of blood glucose level in cardiac surgery.

It is well recognized that poor perioperative blood glucose (BG) control can increase the risk of infection, cardiovascular accidents, and even death in patients undergoing cardiac surgery. Since it has been reported that tight BG control (80-110 mg/dL) yields better outcomes in critically ill patients, it became a standard of care to control BG using intravenous insulin infusion in ICU. Howeve...

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A review of perioperative glucose control in the neurosurgical population.

Significant fluctuations in serum glucose levels accompany the stress response of surgery or acute injury and may be associated with vascular or neurologic morbidity. Maintenance of euglycemia with intensive insulin therapy (IIT) continues to be investigated as a therapeutic intervention to decrease morbidity associated with derangements in glucose metabolism. Hypoglycemia is a common side effe...

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ژورنال

عنوان ژورنال: Anesthesiology

سال: 2009

ISSN: 0003-3022

DOI: 10.1097/aln.0b013e3181948aae