Perioperative Management of Diabetes Mellitus

1998 ◽  
Vol 10 (3) ◽  
pp. 363-371
Author(s):  
Paul R. Baker ◽  
Wayne Maurer ◽  
Jacob Warman
Keyword(s):  
Diabetes Mellitus ◽  
Perioperative Management

Craniectomy with microvascular flap reconstruction in a patient taking infliximab for vasculitis

2020 ◽  
Vol 13 (12) ◽  
pp. e238614
Author(s):  
Ogonna N Nnamani Silva ◽  
Audrey B Nguyen ◽  
William Y Hoffman
Keyword(s):  
Diabetes Mellitus ◽  
Latissimus Dorsi ◽  
Perioperative Management ◽  
Large Cell ◽  
Evidence Based ◽  
Flap Reconstruction ◽  
Biologic Drugs ◽  
Temporal Arteries ◽  
Immune Mediated ◽  
Microvascular Flap

For patients whose vasculitis is managed with biologic medications, no reports or evidence-based guidance exists regarding the perioperative management of microvascular flaps. We present a case of a 78-year-old patient with Takayasu’s arteritis (TA) and diabetes mellitus who was taking infliximab and underwent wide local excision of squamous cell carcinoma, craniectomy and reconstruction with a latissimus dorsi flap. TA, an immune-mediated large cell vasculitis characterised by granuloma formation, tends to affect larger vessels and aortic branches. The typical localisation of this condition raises concerns about potentially compromised pedicle and recipient vessels (ie, superficial temporal arteries), which could hinder postoperative flap success. Discontinuation of infliximab 4 weeks before surgery and resumption 6 weeks after led to favourable results. This case addresses the gap in the literature concerning stopping and restarting biologic drugs in the perioperative setting and documents a successful course of a microvascular procedure in a patient with vasculitis.

Perioperative Management of Diabetes Mellitus

1982 ◽  
Vol 26 (2) ◽  
pp. 77
Author(s):  
L. F. WALTS ◽  
J. MILLER ◽  
M. B. DAVIDSON ◽  
J. BROWN ◽  
Gordon M. Wyant
Keyword(s):  
Diabetes Mellitus ◽  
Perioperative Management

scholarly journals Perioperative Management of Pediatric Patients With Type 1 Diabetes Mellitus, Updated Recommendations for Anesthesiologists

2020 ◽  
Vol 130 (4) ◽  
pp. 821-827 ◽  
Author(s):  
Lizabeth D. Martin ◽  
Monica A. Hoagland ◽  
Erinn T. Rhodes ◽  
Joseph I. Wolfsdorf ◽  
Jennifer L. Hamrick ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 1 Diabetes ◽  
Type 1 Diabetes Mellitus ◽  
Pediatric Patients ◽  
Perioperative Management

Guidelines to improve perioperative management of diabetes mellitus: an example of a successful quality initiative

2014 ◽  
Vol 4 (4) ◽  
pp. 327-337 ◽  
Author(s):  
Meera Shah ◽  
Heidi A Apsey ◽  
Joshua D Stearns ◽  
Richard T Schlinkert ◽  
Karen M Seifert ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Perioperative Management

Perioperative Management of Pediatric Surgical Patients with Diabetes Mellitus

2005 ◽  
Vol 101 (4) ◽  
pp. 986-999 ◽  
Author(s):  
Erinn T. Rhodes ◽  
Lynne R. Ferrari ◽  
Joseph I. Wolfsdorf
Keyword(s):  
Diabetes Mellitus ◽  
Perioperative Management ◽  
Surgical Patients ◽  
Patients With Diabetes

Medical management of the diabetic patient during podiatric surgery

1994 ◽  
Vol 84 (9) ◽  
pp. 432-438 ◽  
Author(s):  
SB Lewis ◽  
CF Biondo ◽  
JC Page
Keyword(s):  
Diabetes Mellitus ◽  
Wound Healing ◽  
Diabetic Foot ◽  
Postoperative Care ◽  
Medical Management ◽  
Perioperative Management ◽  
Diabetic Patients ◽  
Foot Surgery ◽  
Podiatric Surgery ◽  
Enhance Wound Healing

Diabetes mellitus commonly causes complications of the foot that can lead to surgery. The appropriate perioperative management of diabetic patients can reduce the morbidity and mortality associated with diabetic foot surgery and enhance wound healing. The authors review the effects of hyperglycemia, detail preoperative, intraoperative, and postoperative care, and describe anesthetic choices. An algorithm for management of hypoglycemia is offered.

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