Department of Anesthesia, Pain, and Critical Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave., Boston, MA 02215, USA.
Best Pract Res Clin Anaesthesiol. 2023 Sep;37(3):373-385. doi: 10.1016/j.bpa.2023.03.002. Epub 2023 Mar 15.
Perioperative management of blood glucose is vital to the recovery and return to normal life for patients with diabetes undergoing ambulatory surgery. Important aspects of the preoperative assessment include the evaluation of the patient's usual level of control and self-management skills and the occurrence of hypoglycemia. There are disputes on the perioperative administration of diabetes medications, insulin, and certain other drugs. This article will provide information on current recommendations for ambulatory surgery and anesthesia for diabetic patients. It will address controversies and reemphasize important points of optimal care. New drugs and technologies for diabetes patients that may impact the perioperative period will be described.
围手术期血糖管理对于接受门诊手术的糖尿病患者的康复和回归正常生活至关重要。术前评估的重要方面包括评估患者的常规控制水平和自我管理技能以及低血糖的发生。对于糖尿病药物、胰岛素和某些其他药物的围手术期管理存在争议。本文将提供有关糖尿病患者门诊手术和麻醉的当前建议信息。它将解决争议并强调最佳护理的要点。还将描述可能影响围手术期的新型糖尿病药物和技术。
