Creating a Perioperative Glycemic Control Program
Hyperglycemia in the surgical population is a recognized risk factor for postoperative complications; however, there is little literature to date regarding the management of hyperglycemia in the perioperative period. Here, we detail the strategies that our institutions have employed to identify and...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2011/465974 |
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| _version_ | 1832554057561014272 |
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| author | Sara M. Alexanian Marie E. McDonnell Shamsuddin Akhtar |
| author_facet | Sara M. Alexanian Marie E. McDonnell Shamsuddin Akhtar |
| author_sort | Sara M. Alexanian |
| collection | DOAJ |
| description | Hyperglycemia in the surgical population is a recognized risk factor for postoperative complications; however, there is little literature to date regarding the management of hyperglycemia in the perioperative period. Here, we detail the strategies that our institutions have employed to identify and treat hyperglycemia in patients with diabetes who present for surgery. Our approach focuses on the recognition of hyperglycemia and metabolic abnormalities, control of glucose levels via insulin infusion when needed, monitoring for hypoglycemia and a comprehensive multidisciplinary approach that provides standardized recommendations for patients at all points in care as they transition from the preoperative clinic into the operating room, and then into the hospital. |
| format | Article |
| id | doaj-art-fce48046d4544f6198662b614aa402e7 |
| institution | Kabale University |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anesthesiology Research and Practice |
| spelling | doaj-art-fce48046d4544f6198662b614aa402e72025-02-03T05:52:34ZengWileyAnesthesiology Research and Practice1687-69621687-69702011-01-01201110.1155/2011/465974465974Creating a Perioperative Glycemic Control ProgramSara M. Alexanian0Marie E. McDonnell1Shamsuddin Akhtar2Department of Endocrinology, Diabetes and Nutrition, Boston University Medical Center, 88 East Newton Street, Evans 201, Boston, MA 02118, USADepartment of Endocrinology, Diabetes and Nutrition, Boston University Medical Center, 88 East Newton Street, Evans 201, Boston, MA 02118, USADepartment of Anesthesiology, Yale University School of Medicine, New Haven, CT 06510, USAHyperglycemia in the surgical population is a recognized risk factor for postoperative complications; however, there is little literature to date regarding the management of hyperglycemia in the perioperative period. Here, we detail the strategies that our institutions have employed to identify and treat hyperglycemia in patients with diabetes who present for surgery. Our approach focuses on the recognition of hyperglycemia and metabolic abnormalities, control of glucose levels via insulin infusion when needed, monitoring for hypoglycemia and a comprehensive multidisciplinary approach that provides standardized recommendations for patients at all points in care as they transition from the preoperative clinic into the operating room, and then into the hospital.http://dx.doi.org/10.1155/2011/465974 |
| spellingShingle | Sara M. Alexanian Marie E. McDonnell Shamsuddin Akhtar Creating a Perioperative Glycemic Control Program Anesthesiology Research and Practice |
| title | Creating a Perioperative Glycemic Control Program |
| title_full | Creating a Perioperative Glycemic Control Program |
| title_fullStr | Creating a Perioperative Glycemic Control Program |
| title_full_unstemmed | Creating a Perioperative Glycemic Control Program |
| title_short | Creating a Perioperative Glycemic Control Program |
| title_sort | creating a perioperative glycemic control program |
| url | http://dx.doi.org/10.1155/2011/465974 |
| work_keys_str_mv | AT saramalexanian creatingaperioperativeglycemiccontrolprogram AT marieemcdonnell creatingaperioperativeglycemiccontrolprogram AT shamsuddinakhtar creatingaperioperativeglycemiccontrolprogram |