دورية أكاديمية
Preoperative period
| العنوان: | Preoperative period |
|---|---|
| المؤلفون: | Cheisson, Gaelle, Jacqueminet, Sophie, Cosson, Emmanuel, Ichai, Carole, Leguerrier, Anne-Marie, Nicolescu-Catargi, Bogdan, Ouattara, Alexandre, Tauveron, Igor, Valensi, Paul, Benhamou, Dan |
| المساهمون: | Hôpitaux Universitaires Paris Sud AP-HP (HUPS), CHU Pitié-Salpêtrière AP-HP, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)), Institut National de la Recherche Agronomique (INRA)-Université Paris Diderot - Paris 7 (UPD7)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM), Institut de Recherche sur le Cancer et le Vieillissement (IRCAN), Université Nice Sophia Antipolis (1965 - 2019) (UNS)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Côte d'Azur (UniCA), Centre Hospitalier Universitaire de Nice (CHU Nice), Centre Hospitalier Universitaire de Rennes CHU Rennes = Rennes University Hospital Ponchaillou, CHU Bordeaux, Biologie des maladies cardiovasculaires = Biology of Cardiovascular Diseases, Université de Bordeaux (UB)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Université Clermont Auvergne 2017-2020 (UCA 2017-2020 ), CHU Gabriel Montpied Clermont-Ferrand, CHU Clermont-Ferrand, Service d'Endocrinologie-Diabétologie, CHU Clermont-Ferrand-CHU Gabriel Montpied Clermont-Ferrand, Génétique, Reproduction et Développement (GReD), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Clermont Auvergne 2017-2020 (UCA 2017-2020 )-Centre National de la Recherche Scientifique (CNRS), Université Paris Nord (Paris 13) |
| المصدر: | ISSN: 2352-5800. |
| بيانات النشر: | HAL CCSD Elsevier Masson |
| سنة النشر: | 2017 |
| المجموعة: | HAL Clermont Auvergne (Université Blaise Pascal Clermont-Ferrand / Université d'Auvergne) |
| مصطلحات موضوعية: | Diabetes, Perioperative, HbA1c, Gastroparesis, Cardiac autonomic neuropathy, Antidiabetics, [SDV]Life Sciences [q-bio] |
| الوصف: | National audience ; In diabetic patients undergoing surgery, it is necessary to evaluate how well glycaemic levels are controlled preoperatively. This evaluation assesses glycated haemoglobin (HbA1c) levels and recent capillary blood sugar levels. Treatment adaptation may be necessary before surgery The specific complications of diabetes should be investigated. Gastroparesis creates (3 risk of stasis and aspiration at the time of anaesthetic induction, which requires the use of a rapid sequence induction technique. Cardiac involvement can be divided into several types. Coronary artery disease is characteristic due to the high prevalence of silent myocardial ischemia, present in 30-50% of T2D patients. Diabetic cardiomyopathy is a significant cause of heart failure. Finally, cardiac autonomic neuropathy (CAN), although rarely symptomatic, should be investigated because it causes an increase in cardiovascular events and a risk of sudden death. Several signs are suggestive of CAN. When present, it calls for closer perioperative surveillance. Chronic diabetic renal disease aggravates the risk of acute perioperative renal failure. It is important to measure the glomerular filtration rate preoperatively. The final step of the consultation concerns the management of glucose lowering therapy Preoperative glucose infusion is not necessary if the patient is not receiving insulin. Non-insulin based drugs are not administered on the morning of the procedure except for met formin which is not administered from the evening before. The insulins are injected at the usual dose the evening before. The patient's personal insulin pump is maintained until arrival of the patient in the surgical unit. It should be remembered that insulin deficiency in a T1D patient leads to ketoacidosis within a few hours. ; En préopératoire, il est nécessaire d’évaluer l’équilibre glycémique du diabétique. Cette évaluation repose sur l’hémoglobine glyquée (HbA1c) et les glycémies capillaires récentes. Une adaptation des traitements peut être ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | French |
| ردمك: | 978-0-00-410941-1 0-00-410941-4 |
| العلاقة: | hal-02618776; https://hal.inrae.fr/hal-02618776Test; PRODINRA: 414226; WOS: 000410941400004 |
| DOI: | 10.1016/j.anrea.2017.04.002 |
| الإتاحة: | https://doi.org/10.1016/j.anrea.2017.04.002Test https://hal.inrae.fr/hal-02618776Test |
| حقوق: | http://creativecommons.org/licenses/by-saTest/ |
| رقم الانضمام: | edsbas.67225098 |
| قاعدة البيانات: | BASE |
| ردمك: | 9780004109411 0004109414 |
|---|---|
| DOI: | 10.1016/j.anrea.2017.04.002 |