Julie L Williams M.D., M.S. CA-1
5
Diabetes Mellitus in a pre-operative patient: associated risks and complications of general anesthesia Julie L Williams M.D., M.S. CA-1
description
Diabetes Mellitus in a pre-operative patient: associated risks and complications of general anesthesia. Julie L Williams M.D., M.S. CA-1. Assessing severity of DM. Gold standard: HemoglobinA1c Goals of
Transcript of Julie L Williams M.D., M.S. CA-1
![Page 1: Julie L Williams M.D., M.S. CA-1](https://reader030.fdocuments.in/reader030/viewer/2022033108/56816719550346895ddb8e36/html5/thumbnails/1.jpg)
Diabetes Mellitus in a pre-operative patient: associated risks and complications of general anesthesiaJulie L Williams M.D., M.S.CA-1
![Page 2: Julie L Williams M.D., M.S. CA-1](https://reader030.fdocuments.in/reader030/viewer/2022033108/56816719550346895ddb8e36/html5/thumbnails/2.jpg)
Assessing severity of DM
Gold standard: HemoglobinA1cGoals of <5.5-6%Often a recent HbA1c is not available...Evaluate patient in pre-operative clinic setting with basic metabolic panel, accucheck, repeat blood glucose test on morning of surgery.Body HabitusType 1 vs. Type 2Pharmacologic management
![Page 3: Julie L Williams M.D., M.S. CA-1](https://reader030.fdocuments.in/reader030/viewer/2022033108/56816719550346895ddb8e36/html5/thumbnails/3.jpg)
Specific pre-operative concerns
D.M., no matter how well or poorly controlled is a risk factor for CAD and major cardiac event in perioperative setting.Pre operative testing
EKGCMPfasting and post prandial blood glucoseUrinalysisCBC
![Page 4: Julie L Williams M.D., M.S. CA-1](https://reader030.fdocuments.in/reader030/viewer/2022033108/56816719550346895ddb8e36/html5/thumbnails/4.jpg)
![Page 5: Julie L Williams M.D., M.S. CA-1](https://reader030.fdocuments.in/reader030/viewer/2022033108/56816719550346895ddb8e36/html5/thumbnails/5.jpg)
ASA/ACA guidlines