Clinical Guidelines for Perioperative Management of Diabetic Pa-tients.
[摘要] Abstract:Surgeryaccompaniesbyhighmortalityandmorbidityratesindiabeticpatients.Asthisdiseaseaffectsnumeroussystemsdiabeticpatientsrequiretobeapproachedsystemical-lyandcarefully.Stressofsurgerystimulatescatabolichormonessecretion.Perioperativeassessmentscanhelpustofindthehighriskdiabeticpatientsandthepatientsneedextra-management.Somediabeticpatientsneedtoimprovebloodglycemiccontrolbeforesurgery.Tightglycemiccontrolisagoalindiabeticpatientsfordevelopingabetteroutcome,whiletheoptimalrangeis110-180mg/dl.Althoughareducedprotocolmaybeacceptableforminorsurgeriesindiabeticpatientsglucose-insulin-potassiuminjectionshouldbeconsideredfortheirmajorsurgeries.Physicians’involvementwithdiabeticpatients’managementbeforesurgeryandsuccessfulperioperativemanagementofhy-perglycemiaisabigchallenge.Asimpleprotocolcanhelpphysicianstodevelopasafeperioperativemanagement.
[发布日期] [发布机构]
[效力级别] [学科分类] 基础医学
[关键词] Perioperative;Diabetes;Insulin;Glucose [时效性]
