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Anesthesiologist’s Guide to Perioperative Glycemic Management

Anesthesiologist’s Guide to Perioperative Glycemic Management Anesthesiologist’s Guide to Perioperative Glycemic Management Basem B. Abdelmalak, MD Departments of General Anesthesiology and Outcomes Research Anesthesiology Institute Cleveland Clinic Cleveland, Ohio on the available evidence is presented in this chapter. Learning Objectives: Topics discussed include: (1) the prevalence of preoper- As a result of completing this activity, the participant ative hyperglycemia and the decision-making process for will be able to proceeding with or delaying surgery, (2) intraoperative Describe the epidemiology of undiagnosed diabe- hyperglycemic surgical stress response and the added effect tes and hyperglycemia in the perioperative period of perioperative steroids, (3) risks associated with hyper- Justify a management plan for preoperative and glycemia and hypoglycemia, (4) a recommended target for postoperative hyperglycemia perioperative glucose concentration, (5) principles and Discuss hyperglycemic surgical stress response, its strategies for safe intraoperative insulin dosing, (6) post- extent, pattern, and the impact of steroids operative glycemic management, and (7) a proposed Formulate a plan for intraoperative insulin dosing, algorithm for managing diabetic patients on continuous route, and glucose monitoring insulin pump therapy perioperatively. List necessary steps in caring for patients using insulin pumps Author Disclosure Information: THE PREVALENCE OF PREOPERATIVE Dr. Abdelmalak has disclosed that he has no financial HYPERGLYCEMIA AND http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png ASA Refresher Courses in Anesthesiology Wolters Kluwer Health

Anesthesiologist’s Guide to Perioperative Glycemic Management

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References (66)

Copyright
Copyright © 2014 by Lippincott Williams & Wilkins
ISSN
0363-471X
DOI
10.1097/ASA.0000000000000008
Publisher site
See Article on Publisher Site

Abstract

Anesthesiologist’s Guide to Perioperative Glycemic Management Basem B. Abdelmalak, MD Departments of General Anesthesiology and Outcomes Research Anesthesiology Institute Cleveland Clinic Cleveland, Ohio on the available evidence is presented in this chapter. Learning Objectives: Topics discussed include: (1) the prevalence of preoper- As a result of completing this activity, the participant ative hyperglycemia and the decision-making process for will be able to proceeding with or delaying surgery, (2) intraoperative Describe the epidemiology of undiagnosed diabe- hyperglycemic surgical stress response and the added effect tes and hyperglycemia in the perioperative period of perioperative steroids, (3) risks associated with hyper- Justify a management plan for preoperative and glycemia and hypoglycemia, (4) a recommended target for postoperative hyperglycemia perioperative glucose concentration, (5) principles and Discuss hyperglycemic surgical stress response, its strategies for safe intraoperative insulin dosing, (6) post- extent, pattern, and the impact of steroids operative glycemic management, and (7) a proposed Formulate a plan for intraoperative insulin dosing, algorithm for managing diabetic patients on continuous route, and glucose monitoring insulin pump therapy perioperatively. List necessary steps in caring for patients using insulin pumps Author Disclosure Information: THE PREVALENCE OF PREOPERATIVE Dr. Abdelmalak has disclosed that he has no financial HYPERGLYCEMIA AND

Journal

ASA Refresher Courses in AnesthesiologyWolters Kluwer Health

Published: Jan 1, 2014

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