Anesthesia & Clinical Research
Open Access
ISSN: 2155-6148
ISSN: 2155-6148
Humberto S Machado
University Hospital Center of Porto, Portugal Largo Professor Abel Salazar,
4099-001 Porto
Portugal
Review
Perioperative Management of Diabetes Mellitus: A Review
Author(s): Mariana Raquel Moreira Azevedo and Humberto S MachadoMariana Raquel Moreira Azevedo and Humberto S Machado
Introduction: Diabetes Mellitus (DM) is frequently observed in surgical patients and relates to an increase in perioperative morbidity and mortality. Disease, anesthesia and surgery result in dysglycemia (hypo and/or hyperglycemia), which is one of the worse prognostic factors. The objective of this study is to review the specific needs of the diabetic surgical patient in the perioperative period, regarding its optimization.
Methods: Scientific studies (n=89) were obtained through PubMed, Google Scholar and Google, between 2008 and 2018.
Results: Actions proposed in order to reduce perioperative complications in the diabetic patient. Preoperative period: an anesthetic evaluation, discontinuation of OADs and fast-acting insulin, prioritization of diabetics in the surgery list, cancellation of non-urgent procedures when .. View More»