Intraoperative Insulin Administration and Hypoglycemia in Diabetic Patients

Authors

Eric Schwenk, MD, Department of Anesthesiology, Thomas Jefferson UniversityFollow
Richard H. Epstein, MD, CPHIMS, Department of Anesthesiology, Thomas Jefferson UniversityFollow
Boris Mraovic, Department of Anesthesiology, Thomas Jefferson UniversityFollow

Document Type

Poster

Publication Date

10-2010

Abstract

Introduction:

Although studies are conflicting as to the benefit of intensive insulin therapy (IIT) in the critically ill, there is a 6x increase in hypoglycemia incidence in patients treated with IIT.

Anesthesia masks signs and symptoms of hypoglycemia, making intraop hypoglycemia difficult to detect clinically.

We performed this retrospective, observational analysis to:

Determine the incidence of intraoperative hypoglycemia and severe hypoglycemia

Evaluate possible causes of hypoglycemia

Determine intraop monitoring and treatment practices of diabetic patients at a large academic hospital

Recommended Citation

Schwenk, MD, Eric; Epstein, MD, CPHIMS, Richard H.; and Mraovic, Boris, "Intraoperative Insulin Administration and Hypoglycemia in Diabetic Patients" (2010). Department of Anesthesiology Faculty Papers. Paper 11.
https://jdc.jefferson.edu/anfp/11