Caring for patients with diabetes in the outpatient surgical setting: current recommendations and controversies.

IF 2.3 3区医学 Q2 ANESTHESIOLOGY Current Opinion in Anesthesiology Pub Date : 2024-12-01 Epub Date: 2024-09-19 DOI:10.1097/ACO.0000000000001438

Elizabeth W Duggan, Guillermo E Umpierrez

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Abstract

Purpose of review: Perioperative outpatient (ambulatory) care of the adult patient with diabetes requires unique considerations that vary from the inpatient setting. This review highlights specific pre, intra, and postoperative care steps for patients with diabetes undergoing ambulatory surgery, summarizing recent clinical trials, expert reviews, and emerging evidence.

Recent findings: There is a paucity of evidence examining optimal diabetes management in the outpatient setting. Currently, there are limited studies regarding preoperative management of oral hypoglycemic agents, home insulin, and carbohydrate-containing beverages.

Summary: Future research needs to specifically examine chronic blood glucose control, day of surgery targets, effective home medication management and the risk of perioperative hyperglycemia in ambulatory surgery. Education, protocols and resources to support the care of perioperative patients in the outpatient setting will aid providers on the day of surgery and provide optimal diabetes care leading up to surgery.

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在门诊手术环境中照顾糖尿病患者：当前的建议和争议。

审查目的：成年糖尿病患者的门诊（非住院）围手术期护理需要考虑不同于住院环境的独特因素。本综述强调了接受非住院手术的糖尿病患者术前、术中和术后的具体护理步骤，总结了最近的临床试验、专家综述和新出现的证据：研究门诊环境中糖尿病最佳管理的证据很少。目前，关于术前口服降糖药、家用胰岛素和含碳水化合物饮料管理的研究非常有限：小结：未来的研究需要特别关注非卧床手术中的慢性血糖控制、手术日目标、有效的家庭用药管理以及围手术期高血糖风险。在门诊环境中为围手术期患者提供支持护理的教育、协议和资源将在手术当天为医疗服务提供者提供帮助，并在手术前提供最佳的糖尿病护理。

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来源期刊

Current Opinion in Anesthesiology 医学-麻醉学

CiteScore

4.90

自引率

8.00%

发文量

207

审稿时长

12 months

期刊介绍： Published bimonthly and offering a unique and wide ranging perspective on the key developments in the field, each issue of Current Opinion in Anesthesiology features hand-picked review articles from our team of expert editors. With fifteen disciplines published across the year – including cardiovascular anesthesiology, neuroanesthesia and pain medicine – every issue also contains annotated references detailing the merits of the most important papers.

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