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Perioperative Glucose Control in Neurosurgical Patients
Joint Authors
Lenhardt, Rainer
Godoy, Daniel Agustín
Di Napoli, Mario
Biestro, Alberto
Source
Anesthesiology Research and Practice
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-13, 13 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-02-13
Country of Publication
Egypt
No. of Pages
13
Main Subjects
Abstract EN
Many neurosurgery patients may have unrecognized diabetes or may develop stress-related hyperglycemia in the perioperative period.
Diabetes patients have a higher perioperative risk of complications and have longer hospital stays than individuals without diabetes.
Maintenance of euglycemia using intensive insulin therapy (IIT) continues to be investigated as a therapeutic tool to decrease morbidity and mortality associated with derangements in glucose metabolism due to surgery.
Suboptimal perioperative glucose control may contribute to increased morbidity, mortality, and aggravate concomitant illnesses.
The challenge is to minimize the effects of metabolic derangements on surgical outcomes, reduce blood glucose excursions, and prevent hypoglycemia.
Differences in cerebral versus systemic glucose metabolism, time course of cerebral response to injury, and heterogeneity of pathophysiology in the neurosurgical patient populations are important to consider in evaluating the risks and benefits of IIT.
While extremes of glucose levels are to be avoided, there are little data to support an optimal blood glucose level or recommend a specific use of IIT for euglycemia maintenance in the perioperative management of neurosurgical patients.
Individualized treatment should be based on the local level of blood glucose control, outpatient treatment regimen, presence of complications, nature of the surgical procedure, and type of anesthesia administered.
American Psychological Association (APA)
Godoy, Daniel Agustín& Di Napoli, Mario& Biestro, Alberto& Lenhardt, Rainer. 2012. Perioperative Glucose Control in Neurosurgical Patients. Anesthesiology Research and Practice،Vol. 2012, no. 2012, pp.1-13.
https://search.emarefa.net/detail/BIM-490810
Modern Language Association (MLA)
Godoy, Daniel Agustín…[et al.]. Perioperative Glucose Control in Neurosurgical Patients. Anesthesiology Research and Practice No. 2012 (2012), pp.1-13.
https://search.emarefa.net/detail/BIM-490810
American Medical Association (AMA)
Godoy, Daniel Agustín& Di Napoli, Mario& Biestro, Alberto& Lenhardt, Rainer. Perioperative Glucose Control in Neurosurgical Patients. Anesthesiology Research and Practice. 2012. Vol. 2012, no. 2012, pp.1-13.
https://search.emarefa.net/detail/BIM-490810
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-490810