Diabetes mellitus e cirurgia. Preparação do doente diabético para cirurgia.
The perioperative management of diabetic patients implies glicemic normalization before, during and after the procedure. Insulin therapy is always necessary when general anesthesia is considered, and in most cases of epidural analgesia. When ambulatory surgery is envisaged, the usual hypoglycemic tr...
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| Format: | Article |
| Language: | English |
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Ordem dos Médicos
2004-02-01
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| Series: | Acta Médica Portuguesa |
| Online Access: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1748 |
| _version_ | 1811242215725334528 |
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| author | Isabel Paiva |
| author_facet | Isabel Paiva |
| author_sort | Isabel Paiva |
| collection | DOAJ |
| description | The perioperative management of diabetic patients implies glicemic normalization before, during and after the procedure. Insulin therapy is always necessary when general anesthesia is considered, and in most cases of epidural analgesia. When ambulatory surgery is envisaged, the usual hypoglycemic treatment can be maintained, provided that a sufficiently good metabolic control is documented. The pathophysiological mechanisms for insulin-resistance in these situations are reviewed, as are the procedures for general clinical evaluation of the patient. The estimation of insulin needs, the problems related with the suspension of oral antidiabetic drugs and the description of the most usual schemes of intensive insulin therapy (namely those of continuous intravenous insulin infusion) are also detailed. |
| first_indexed | 2024-04-12T13:48:28Z |
| format | Article |
| id | doaj.art-5a7ffa1889884496b4f9cd5517eb982f |
| institution | Directory Open Access Journal |
| issn | 0870-399X 1646-0758 |
| language | English |
| last_indexed | 2024-04-12T13:48:28Z |
| publishDate | 2004-02-01 |
| publisher | Ordem dos Médicos |
| record_format | Article |
| series | Acta Médica Portuguesa |
| spelling | doaj.art-5a7ffa1889884496b4f9cd5517eb982f2022-12-22T03:30:37ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582004-02-0117110.20344/amp.1748Diabetes mellitus e cirurgia. Preparação do doente diabético para cirurgia.Isabel Paiva0Serviço de Endocrinologia, Diabetes e Metabolismo, Hospitais da Universidade de Coimbra.The perioperative management of diabetic patients implies glicemic normalization before, during and after the procedure. Insulin therapy is always necessary when general anesthesia is considered, and in most cases of epidural analgesia. When ambulatory surgery is envisaged, the usual hypoglycemic treatment can be maintained, provided that a sufficiently good metabolic control is documented. The pathophysiological mechanisms for insulin-resistance in these situations are reviewed, as are the procedures for general clinical evaluation of the patient. The estimation of insulin needs, the problems related with the suspension of oral antidiabetic drugs and the description of the most usual schemes of intensive insulin therapy (namely those of continuous intravenous insulin infusion) are also detailed.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1748 |
| spellingShingle | Isabel Paiva Diabetes mellitus e cirurgia. Preparação do doente diabético para cirurgia. Acta Médica Portuguesa |
| title | Diabetes mellitus e cirurgia. Preparação do doente diabético para cirurgia. |
| title_full | Diabetes mellitus e cirurgia. Preparação do doente diabético para cirurgia. |
| title_fullStr | Diabetes mellitus e cirurgia. Preparação do doente diabético para cirurgia. |
| title_full_unstemmed | Diabetes mellitus e cirurgia. Preparação do doente diabético para cirurgia. |
| title_short | Diabetes mellitus e cirurgia. Preparação do doente diabético para cirurgia. |
| title_sort | diabetes mellitus e cirurgia preparacao do doente diabetico para cirurgia |
| url | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1748 |
| work_keys_str_mv | AT isabelpaiva diabetesmellitusecirurgiapreparacaododoentediabeticoparacirurgia |