Perioperative Metabolic Care in a Patient with Diabetes – Recommendations

Authors: I. Vyhnánková
Authors‘ workplace: Diabetologická ambulance II. interní kliniky, FTN, Praha
Published in: Rozhl. Chir., 2009, roč. 88, č. 7, s. 353-356.
Category: Monothematic special - Original


Diabetes mellitus has become the main metabolic disorder. Correct treatment of a diabetic patient during the perioperative period is essential, in order to improve the treatment outcomes. A diabetic patient must be throroughly assessed prior to his procedure and must be postoperatively observed for any signs of cardiovascular complications and wound healing disorders. The author present diagnostic criteria, recommendations for perioperative management, as well as therapeutic measures in hyperglycemia in non- diabetic patients in critical conditions following serious surgical procedures or trauma.

Key words:
diabetes mellitus – classification – perioperative procedure – hyperglycemia – critical patient


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