Society for Ambulatory Anesthesia Consensus Statement on Perioperative Blood Glucose Management in Diabetic Patients Undergoing Ambulatory Surgery

被引：175

作者：

Joshi, Girish P. ^{[1
]}

Chung, Frances ^{[2
]}

Vann, Mary Ann ^{[3
]}

Ahmad, Shireen ^{[4
]}

Gan, Tong J. ^{[5
]}

Goulson, Daniel T. ^{[6
]}

Merrill, Douglas G. ^{[7
]}

Twersky, Rebecca ^{[8
]}

机构：

[1] Univ Texas SW Med Ctr Dallas, Dallas, TX 75390 USA

[2] Univ Toronto, Toronto Western Hosp, Toronto, ON M5T 2S8, Canada

[3] Harvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Anesthesia Pain & Crit Care, Boston, MA 02215 USA

[4] Northwestern Univ, Feinberg Sch Med, Dept Anesthesiol, Chicago, IL 60611 USA

[5] Duke Univ, Med Ctr, Dept Anesthesiol, Durham, NC 27710 USA

[6] Univ Kentucky, Lexington, KY USA

[7] Dartmouth Hitchcock Med Ctr, Ctr Perioperat Serv Outpatient Surg, Lebanon, NH 03766 USA

[8] Suny Downstate Med Ctr, Dept Anesthesiol, Ambulatory Surg Unit, Brooklyn, NY 11203 USA

来源：

ANESTHESIA AND ANALGESIA | 2010年 / 111卷 / 06期

关键词：

CRITICALLY-ILL PATIENTS; POSTOPERATIVE NAUSEA; METABOLIC-CONTROL; GLYCEMIC CONTROL; INSULIN THERAPY; MINOR SURGERY; FLUID THERAPY; RISK-FACTORS; HYPOGLYCEMIA; DEXAMETHASONE;

D O I：

10.1213/ANE.0b013e3181f9c288

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Optimal evidence-based perioperative blood glucose control in patients undergoing ambulatory surgical procedures remains controversial. Therefore, the Society for Ambulatory Anesthesia has developed a consensus statement on perioperative glycemic management in patients undergoing ambulatory surgery. A systematic review of the literature was conducted according the protocol recommended by the Cochrane Collaboration. The consensus panel used the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system for providing suggestions. It was revealed that there is insufficient evidence to provide strong recommendations for the posed clinical questions. In the absence of high-quality evidence, recommendations were based on general principles of blood glucose control in diabetics, drug pharmacology, and data from inpatient surgical population, as well as clinical experience and judgment. In addition, areas of further research were also identified.

引用

页码：1378 / 1387

页数：10

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