diabetes mellitus in a pre- operative patient: associated risks and complications of general...
Post on 04-Jan-2016
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Diabetes Mellitus in a pre-operative patient: associated risks and complications of general anesthesiaJulie L Williams M.D., M.S.
CA-1
Assessing severity of DM
Gold standard: HemoglobinA1c
Goals of <5.5-6%
Often a recent HbA1c is not available...
Evaluate patient in pre-operative clinic setting with basic metabolic panel, accucheck, repeat blood glucose test on morning of surgery.
Body Habitus
Type 1 vs. Type 2
Pharmacologic management
Specific pre-operative concerns
D.M., no matter how well or poorly controlled is a risk factor for CAD and major cardiac event in perioperative setting.
Pre operative testing
EKG
CMP
fasting and post prandial blood glucose
Urinalysis
CBC
ASA/ACA guidlines
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