Perioperative Hyperglycemia Management

2017/01/25 by Elizabeth W. Duggan, Karen Carlson, Guillermo E. Umpierrez · 29 citations
Medicine · Biochemistry, Genetics and Molecular Biology · #Hyperglycemia and glycemic control in critically ill and hospitalized patients #Diabetes Management and Research #Cancer, Hypoxia, and Metabolism

paper · doi:10.1097/aln.0000000000001515

Abstract

An association between perioperative hyperglycemia and adverse outcomes has been established in surgical patients, 1-3 with morbidity being reduced in those treated with insulin.5-6 A practical treatment algorithm and literature summary is provided for surgical patients with diabetes and hyperglycemia.

Cited by

• Association Between Intraoperative Dexamethasone and Postoperative Mortality in Patients Undergoing Oncologic Surgery
• 2024 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines
• Glucose indices as inflammatory markers in children with acute surgical abdomen: a cross-sectional study
• Validation Study of a Web-Based Periprocedural Diabetes Management Algorithm (DIAPI) in an Endoscopy Unit
• Perioperative Management of Hyperglycemia and Diabetes in Cardiac Surgery Patients. [europepmc]
• Enhanced recovery after surgery in emergency colorectal surgery: Review of literature and current practices. [europepmc]
• Risk Factors of Intraoperative Dysglycemia in Elderly Surgical Patients. [europepmc]
• The relationship of preoperative versus postoperative hyperglycemia on clinical outcomes after elective colorectal surgery. [europepmc]
• General treatment principles for fracture-related infection: recommendations from an international expert group. [europepmc]
• Liraglutide for perioperative management of hyperglycaemia in cardiac surgery patients: a multicentre randomized superiority trial. [europepmc]
• Costs Associated With Modifiable Risk Factors in Ventral and Incisional Hernia Repair. [europepmc]
• Association of intraoperative hyperglycemia and postoperative outcomes in patients undergoing non-cardiac surgery: a multicenter retrospective study. [europepmc]
• Impact of Diabetes Mellitus on Outcomes of Patients With Knee Osteoarthritis Who Underwent Knee Arthroplasty: An Analysis of the Nationwide Inpatient Sample. [europepmc]
• Adipocyte lipolysis drives acute stress-induced insulin resistance. [europepmc]
• Association Between Preoperative Blood Glucose Level and Hospital Length of Stay for Patients Undergoing Appendectomy or Laparoscopic Cholecystectomy. [europepmc]
• Racial/Ethnic Differences in the Risk of Surgical Complications and Posthysterectomy Hospitalization among Women Undergoing Hysterectomy for Benign Conditions. [europepmc]
• Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations: Part 1-Preoperative: Diagnosis, Rapid Assessment and Optimization. [europepmc]
• Associations Between Preoperative Glucose and Hemoglobin A1c Level and Myocardial Injury After Noncardiac Surgery. [europepmc]
• Managing Patients Undergoing Orthopedic Surgery to Improve Glycemic Outcomes. [europepmc]
• Preoperative oral carbohydrate loading: Effects on intraoperative blood glucose levels, post-operative nausea and vomiting, and intensive care unit stay. [europepmc]
• 16. Diabetes Care in the Hospital: Standards of Care in Diabetes-2023. [europepmc]
• Association of Preoperative Medical Consultation With Reduction in Adverse Postoperative Outcomes and Use of Processes of Care Among Residents of Ontario, Canada. [europepmc]
• Perioperative glycemic management in adults presenting for elective cardiac and non-cardiac surgery. [europepmc]
• Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS ® ) Society Recommendations Part 2-Emergency Laparotomy: Intra- and Postoperative Care. [europepmc]
• 16. Diabetes Care in the Hospital: Standards of Care in Diabetes-2024. [europepmc]
• Cerebral Glucose Metabolism following TBI: Changes in Plasma Glucose, Glucose Transport and Alternative Pathways of Glycolysis-A Translational Narrative Review. [europepmc]
• Myocardial protection in cardiac surgery: a comprehensive review of current therapies and future cardioprotective strategies. [europepmc]
• 16. Diabetes Care in the Hospital: Standards of Care in Diabetes-2025. [europepmc]
• 2025 Clinical Practice Guidelines for Diabetes Management in Korea: Recommendation of the Korean Diabetes Association. [europepmc]

Related

• Peri‐operative management of diabetes mellitus: a multidisciplinary consensus statement from the Association of Anaesthetists and the Joint British Diabetes Societies for Inpatient Care group
• A Perioperative Systems Design to Improve Intraoperative Glucose Monitoring Is Associated with a Reduction in Surgical Site Infections in a Diabetic Patient Population
• Postoperative Hyperglycemia and Surgical Site Infection in General Surgery Patients
• The Impact of Standardizing Preoperative Diabetic Medication Instruction and Glucose Optimization on Postoperative Patient Outcomes
• The positive impact of a multidisciplinary preoperative diabetes clinic on improving glycaemic management in adults undergoing elective noncardiac surgery