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당뇨병 환자의 수술전후기 마취관리: 혈당관리를 중심으로

Perioperative anesthetic management of patients with diabetes mellitus: focused on blood glucose control

대한의사협회지 2020년 63권 9호 p.526 ~ 531
서형석,
소속 상세정보
서형석 ( Seo Hyung-Seok ) - Kyung Hee University College of Medicine Kyung Hee University Hospital at Gangdong Department of Anesthesiology and Pain Medicine

Abstract


Diabetes mellitus is the most common metabolic disease characterized by elevated blood glucose, which results in damage to the heart, blood vessels, eyes, kidney, and nervous system. The incidence of diabetes mellitus has increased in Korea due to longer life expectancy or lifestyle improvement. Since diabetes affects multiple organs including the cardiovascular, neuroendocrine, and autonomic nervous systems, the risk of postoperative complications such as wound infection and cardiovascular events might be increased in patients with diabetes. In addition to postoperative complications, hypoglycemia or hyperglycemia in diabetes may also cause serious problems during surgery. Preoperative fasting and surgical stress may contribute to the derangement of the patient’s physiological status. For appropriate management of diabetic patients in the perioperative period, patients should be evaluated in detail preoperatively and their blood glucose levels should be checked repeatedly during the surgery and even after surgery. The present paper reviews preoperative, intraoperative, and postoperative management of patients with diabetes.

키워드

당뇨병; 수술전후기관리; 저혈당;고혈당; 인슐린
Diabetes mellitus; Perioperative care; Hypoglycemia; Hyperglycemia; Insulin

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KCI
KoreaMed