The endocrinologist gap: Managing diabetes patients in absence

Paediatric anaesthesia · Oct 2024

Review

The endocrinologist gap: Managing diabetes patients in absence of a specialist.

The treatment of pediatric patients with diabetes is frequently orchestrated within a multidisciplinary framework at tertiary, specialized institutions. In situations where emergent surgery is indicated or when a procedure is scheduled in a facility devoid of an endocrinology service, the onus of managing perioperative glycemic levels may rest with the attending anesthesiologist. The objective of this review is to furnish a comprehensive examination of the anesthetic considerations and perioperative governance of pediatric patients with diabetes. Furthermore, this paper delineates a streamlined protocol for perioperative glycemic control, tailored to both major and minor surgical interventions.

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- Nabeel Ahmed and Pablo Ingelmo.
- Faculty of Medicine and Health Sciences, McGill University, Montreal, Quebec, Canada.
- Paediatr Anaesth. 2024 Oct 1; 34 (10): 106310661063-1066.
AbstractThe treatment of pediatric patients with diabetes is frequently orchestrated within a multidisciplinary framework at tertiary, specialized institutions. In situations where emergent surgery is indicated or when a procedure is scheduled in a facility devoid of an endocrinology service, the onus of managing perioperative glycemic levels may rest with the attending anesthesiologist. The objective of this review is to furnish a comprehensive examination of the anesthetic considerations and perioperative governance of pediatric patients with diabetes. Furthermore, this paper delineates a streamlined protocol for perioperative glycemic control, tailored to both major and minor surgical interventions.© 2024 John Wiley & Sons Ltd.

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The endocrinologist gap: Managing diabetes patients in absence of a specialist.

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