Towards Optimal Management of Diabetes in Surgery

Description

This book addresses key principles in the optimal management of diabetes to facilitate smooth and safe anesthesia and surgery with the best possible outcomes. It addresses a range of topics, including: diabetic emergencies, glycemic control in emergencies, the routine perioperative setting, preoperative evaluation in routine and emergency surgery, intra- and post-operative management for neurosurgery, cardiothoracic surgery, gestational diabetes, bariatric surgery and other major surgeries. A dedicated chapter on Metabolic Havoc of Uncontrolled Diabetes provides the in-depth understanding of diabetic pathophysiology required in surgical situations, while a special chapter addresses commonly asked questions on surgery and diabetes. Despite many recent advances in surgery, anesthesia, and diabetes research, perioperative diabetes management is often not addressed adequately. This is largely due to an insufficient understanding of insulin physiology and its pharmacokinetics and pharmacodynamics under normal and stressful conditions. The optimal management of surgery in diabetes calls for an integrated, collaborative, and proactive approach. Surgeons, anesthetists and physicians should know the central, basic aspects of perioperative diabetes management and understand the contribution that each one makes to the best outcome, as well as their limitations. Front Matter ....Pages i-xxvii Role of Residents and Nurses in Perioperative Diabetes Management (Sanjeev Kelkar, Shubhangi Muley, Prakash Ambardekar)....Pages 1-28 Perioperative Diabetic Emergencies (Sanjeev Kelkar, Shubhangi Muley, Prakash Ambardekar)....Pages 29-62 Emergency Surgery and Diabetes Management (Sanjeev Kelkar, Shubhangi Muley, Prakash Ambardekar)....Pages 63-93 Intra- and Postoperative Management in Diabetes (Sanjeev Kelkar, Shubhangi Muley, Prakash Ambardekar)....Pages 95-120 Hypoglycemia in Postoperative Setting (Sanjeev Kelkar, Shubhangi Muley, Prakash Ambardekar)....Pages 121-132 Management of Routine Surgery in Diabetes (Sanjeev Kelkar, Shubhangi Muley, Prakash Ambardekar)....Pages 133-161 Special Surgical Situations and Diabetes Management: Part 1 (Sanjeev Kelkar, Shubhangi Muley, Prakash Ambardekar)....Pages 163-194 Special Surgical Situations in Diabetes: Part 2 (Sanjeev Kelkar, Shubhangi Muley, Prakash Ambardekar)....Pages 195-232 Local/Regional Anesthesia for Diabetic Foot Surgery (Sanjeev Kelkar, Shubhangi Muley, Prakash Ambardekar)....Pages 233-251 Physiology of Insulin (Sanjeev Kelkar, Shubhangi Muley, Prakash Ambardekar)....Pages 253-273 Insulin Pharmacodynamics, Pharmacokinetics, and Insulin Regimens (Sanjeev Kelkar, Shubhangi Muley, Prakash Ambardekar)....Pages 275-289 Metabolic Havoc of Uncontrolled Diabetes (Sanjeev Kelkar, Shubhangi Muley, Prakash Ambardekar)....Pages 291-305 Commonly Asked Questions (Sanjeev Kelkar, Shubhangi Muley, Prakash Ambardekar)....Pages 307-326