Hyperglycemia in the Perioperative Period
Rebecca Shuford, Jennifer L. Miller-Ocuin
Abstract
Perioperative hyperglycemia is a risk factor in surgical patients. Complications, including infection and mortality, are associated with hyperglycemia in both diabetic and nondiabetic patients. Stress hyperglycemia results in a state of insulin resistance. Insulin administration has been shown to reduce the complications associated with hyperglycemia. Glycemic targets provide goals for individualized treatment of hyperglycemia in surgical patients in the preoperative, intraoperative, and postoperative periods.
Topics & Concepts
MedicinePerioperativeGlycemicStress hyperglycemiaInsulin resistanceSurgical stressInsulinDiabetes mellitusIntensive care medicineSurgeryInternal medicineEndocrinologyHyperglycemia and glycemic control in critically ill and hospitalized patientsDiabetes Management and ResearchCardiac and Coronary Surgery Techniques