Diabetes mellitus: anaesthetic management

被引：46

作者：

Robertshaw, H. J. ^{[1
]}

Hall, G. M. ^{[1
]}

机构：

[1] St George Hosp, Dept Anaesthesia & Intens Care Med, London SW17 0RE, England

来源：

ANAESTHESIA | 2006年 / 61卷 / 12期

关键词：

D O I：

10.1111/j.1365-2044.2006.04834.x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

As the incidence of diabetes mellitus continues to increase in the United Kingdom, more diabetic patients will present for both elective and emergency surgery. Whilst the underlying pathophysiology of type 1 and type 2 diabetes differs, there is much good evidence that controlling the blood glucose to > 10 mmol.l(-1) in the peri-operative period for both types of diabetic patients improves outcome. This should be achieved with a glucose-insulin-potassium regimen in all type 1 diabetics and in type 2 diabetics undergoing moderate or major surgical procedures. After surgery, a decrease in the catabolic hormone response resulting from good analgesia and the avoidance of nausea and vomiting should allow early re-establishment of normal glycaemic control.

引用

页码：1187 / 1190

页数：4

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