Peri-operative management of diabetes mellitus - A survey of current practices among Indian anesthesiologists
Background and Aims: Increased burden of diabetes in India has resulted in a spurt in the number of patients with diabetes posted for surgeries. The paucity of national guidelines can lead to marked practice variations in the peri-operative management of diabetes. This survey intends to discern curr...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Anaesthesiology Clinical Pharmacology |
| Subjects: | |
| Online Access: | http://www.joacp.org/article.asp?issn=0970-9185;year=2023;volume=39;issue=3;spage=411;epage=421;aulast=Priya |
| _version_ | 1797245311245090816 |
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| author | Vansh Priya Prateek S Bais Amit Rastogi Rafat Shamim Anil Aggarwal Abinash Patro |
| author_facet | Vansh Priya Prateek S Bais Amit Rastogi Rafat Shamim Anil Aggarwal Abinash Patro |
| author_sort | Vansh Priya |
| collection | DOAJ |
| description | Background and Aims: Increased burden of diabetes in India has resulted in a spurt in the number of patients with diabetes posted for surgeries. The paucity of national guidelines can lead to marked practice variations in the peri-operative management of diabetes. This survey intends to discern current peri-operative practices among anesthesiologists working in medical colleges, tertiary care government, and private health care institutes of the country.
Material and Methods: An anonymous online survey comprising of 25 closed-ended questions was conducted using Google Forms® and disseminated through social media, emails, and messaging platforms. The questionnaire dealt primarily with the peri-operative management of diabetes in patients scheduled for elective surgery. The survey was conducted over a period of 1 month and targeted anesthesia resident trainees with more than 1-year experience, senior residents, and consultants working in India.
Results: Statistically significant difference was observed between the three types of health facilities with respect to prior evaluation for diabetes (P = 0.007), prioritizing operative list (P = 0.006), hospital encouragement of day care surgery (P < 0.001), glycated hemoglobin level (HbA1c) level >8.5 for postponement of surgery (P < 0.05), insulin infusion preference (P < 0.001), hourly intra-operatively capillary blood glucose (CBG) assessment (P = 0.021), and avoiding peri-operative use of Ringer's lactate (RL) (P = 0.025).
Conclusion: This survey primarily highlights the lack of prioritizing the operative list, early discontinuation of metformin, and reduced tendency to consider diabetics for day care surgeries. |
| first_indexed | 2024-03-11T15:42:47Z |
| format | Article |
| id | doaj.art-0bc71df850074d8784a1653bbf83b983 |
| institution | Directory Open Access Journal |
| issn | 0970-9185 |
| language | English |
| last_indexed | 2024-04-24T19:24:53Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Anaesthesiology Clinical Pharmacology |
| spelling | doaj.art-0bc71df850074d8784a1653bbf83b9832024-03-25T15:51:28ZengWolters Kluwer Medknow PublicationsJournal of Anaesthesiology Clinical Pharmacology0970-91852023-01-0139341142110.4103/joacp.joacp_463_21Peri-operative management of diabetes mellitus - A survey of current practices among Indian anesthesiologistsVansh PriyaPrateek S BaisAmit RastogiRafat ShamimAnil AggarwalAbinash PatroBackground and Aims: Increased burden of diabetes in India has resulted in a spurt in the number of patients with diabetes posted for surgeries. The paucity of national guidelines can lead to marked practice variations in the peri-operative management of diabetes. This survey intends to discern current peri-operative practices among anesthesiologists working in medical colleges, tertiary care government, and private health care institutes of the country. Material and Methods: An anonymous online survey comprising of 25 closed-ended questions was conducted using Google Forms® and disseminated through social media, emails, and messaging platforms. The questionnaire dealt primarily with the peri-operative management of diabetes in patients scheduled for elective surgery. The survey was conducted over a period of 1 month and targeted anesthesia resident trainees with more than 1-year experience, senior residents, and consultants working in India. Results: Statistically significant difference was observed between the three types of health facilities with respect to prior evaluation for diabetes (P = 0.007), prioritizing operative list (P = 0.006), hospital encouragement of day care surgery (P < 0.001), glycated hemoglobin level (HbA1c) level >8.5 for postponement of surgery (P < 0.05), insulin infusion preference (P < 0.001), hourly intra-operatively capillary blood glucose (CBG) assessment (P = 0.021), and avoiding peri-operative use of Ringer's lactate (RL) (P = 0.025). Conclusion: This survey primarily highlights the lack of prioritizing the operative list, early discontinuation of metformin, and reduced tendency to consider diabetics for day care surgeries.http://www.joacp.org/article.asp?issn=0970-9185;year=2023;volume=39;issue=3;spage=411;epage=421;aulast=Priyadiabetes mellitusquestionnairesurvey |
| spellingShingle | Vansh Priya Prateek S Bais Amit Rastogi Rafat Shamim Anil Aggarwal Abinash Patro Peri-operative management of diabetes mellitus - A survey of current practices among Indian anesthesiologists Journal of Anaesthesiology Clinical Pharmacology diabetes mellitus questionnaire survey |
| title | Peri-operative management of diabetes mellitus - A survey of current practices among Indian anesthesiologists |
| title_full | Peri-operative management of diabetes mellitus - A survey of current practices among Indian anesthesiologists |
| title_fullStr | Peri-operative management of diabetes mellitus - A survey of current practices among Indian anesthesiologists |
| title_full_unstemmed | Peri-operative management of diabetes mellitus - A survey of current practices among Indian anesthesiologists |
| title_short | Peri-operative management of diabetes mellitus - A survey of current practices among Indian anesthesiologists |
| title_sort | peri operative management of diabetes mellitus a survey of current practices among indian anesthesiologists |
| topic | diabetes mellitus questionnaire survey |
| url | http://www.joacp.org/article.asp?issn=0970-9185;year=2023;volume=39;issue=3;spage=411;epage=421;aulast=Priya |
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