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3/2023 vol. 39
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REVIEW PAPER
Perioperative management of patients with diabetes
Paweł Radkowski 1,2,3
,
 
Bartosz Kędziora 4,5
,
 
Laura Eliszewska 2
,
 
Kaja Jackowska 2
,
 
Oliwia Mandziuk-Radkowska 6
,
 
Justyna Dawidowska-Fidrych 7
 
 
 
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1
Department of Anaesthesiology and Intensive Care, Regional Specialist Hospital, Olsztyn, Poland
 
2
Department of Anaesthesiology and Intensive Care, Faculty of Medicine, Collegium Medicum University of Warmia and Mazury, Olsztyn, Poland
 
3
Hospital zum Heiligen Geist, Fritzlar, Germany
 
4
Collegium Medicum, Jan Kochanowski University, Kielce, Poland
 
5
Department of Internal Medicine, Hospital of the Ministry of Interior, Kielce, Poland
 
6
Independent Non-Public Health Care Institution Zdrowie, Olsztyn, Poland
 
7
Pro-Medica Hospital, Ełk, Poland
 
 
Submission date: 2022-07-04
 
 
Final revision date: 2023-06-29
 
 
Acceptance date: 2023-07-25
 
 
Publication date: 2023-09-30
 
 
Corresponding author
Bartosz Kędziora
Department of Internal Medicine Hospital of the Ministry of Interior 51 Wojska Polskiego St, 25-375 Kielce, Poland
 
 
Medical Studies 2023;39(3):272-280
DOI: https://doi.org/10.5114/ms.2023.131683
 
 
Article (PDF)
References (47)
 
KEYWORDS
anaesthesia
diabetes mellitus
complications
outcome
 
TOPICS
ABSTRACT
The prevalence of diabetes mellitus has been steadily increasing rapidly in recent years. Risk factors include obesity and lack of physical activity. Not only is it the most common endocrine disease in Europe, but also it is widely prevalent worldwide. Hyperglycaemia and diabetes were responsible for about 6.7 million deaths worldwide and 1.1 million deaths in Europe in 2021. Diabetes has a significant impact on the economy as well. This is a common disorder in surgical patients and proper anaesthesiology management of this disease is the single most important issue, though still poorly understood. Patients with diabetes mellitus have a higher risk of difficult intubation and aspiration. Diabetics undergoing surgery are particularly at risk of postoperative complications and increased mortality. In this review, the authors discuss the perioperative considerations in managing patients with diabetes as well as those without diabetes, albeit hyperglycaemic.
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