Anesthetic considerations in diabetic patients. Part II: Intraoperative and postoperative management of patients with diabetes mellitus

Journal of Anesthesia

Volumn 24, Issue 5, 2010, Pages 748-756

  Kadoi, Yuji ^a  

^a GUNMA UNIVERSITY HOSPITAL   (Japan)

Author keywords

Diabetes mellitus; Perioperative management; Tight glycemic control

Indexed keywords

ASCORBIC ACID; DOBUTAMINE; DOPAMINE; GLUCOSE; GLYCERYL TRINITRATE; HEMOGLOBIN A1C; ICODEXTRIN; INFUSION FLUID; INSULIN; ISOFLURANE; MANNITOL; PARACETAMOL; RECOMBINANT BRAIN DERIVED NEUROTROPHIC FACTOR; SEVOFLURANE; VECURONIUM;

ANEMIA; ANESTHESIA; BLOOD GLUCOSE MONITORING; BRAIN BLOOD FLOW; BRAIN CIRCULATION; CARDIOVASCULAR DISEASE; CLINICAL TRIAL; CONTINUOUS INFUSION; CORONARY ARTERY BYPASS GRAFT; DIABETES MELLITUS; DIABETIC PATIENT; DOPPLER ECHOGRAPHY; DRUG MECHANISM; HEMATOCRIT; HEMODYNAMIC INSTABILITY; HEMODYNAMIC STRESS; HEMODYNAMICS; HUMAN; HYPOGLYCEMIA; HYPONATREMIA; HYPOTENSION; HYPOTHERMIA; HYPOXIA; INSULIN DEPENDENT DIABETES MELLITUS; INSULIN TREATMENT; INTRAOPERATIVE PERIOD; NON INSULIN DEPENDENT DIABETES MELLITUS; OXYGEN CONCENTRATION; OXYGEN THERAPY; PH MEASUREMENT; POLYCYTHEMIA; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATION; POSTOPERATIVE PERIOD; POSTPRANDIAL STATE; REVIEW; STROKE; SURGICAL MORTALITY; WOUND INFECTION;

ANESTHESIA; BLOOD GLUCOSE; CEREBROVASCULAR CIRCULATION; DIABETES COMPLICATIONS; DIABETES MELLITUS; HUMANS; INFECTION; INTRAOPERATIVE CARE; PERIOPERATIVE CARE; POSTOPERATIVE CARE;

EID: 78149415279     PISSN: 09138668     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00540-010-0988-0     Document Type: Review

References (58)

1. VH Thourani WS Weintraub B Stein SS Gebhart JM Craver EL Jones RA Guyton 1999 Influence of diabetes mellitus on early and late outcome after coronary artery bypass grafting Ann Thorac Surg 67 1045 1052 10.1016/S0003-4975(99)00143- 5 10320249 (Pubitemid 29238294)
2. LG Burgos TJ Ebert C Asiddao LA Turner CZ Pattison R Wang-Cheng JP Kampine 1989 Increased intraoperative cardiovascular morbidity in diabetics with autonomic neuropathy Anesthesiology 70 591 597 10.1097/00000542-198904000-00006 2929996
3. D Knuttgen D Weidemann M Doehn 1990 Diabetic autonomic neuropathy: abnormal cardiovascular reaction under general anesthesia Klin Wochenschr 68 1168 1172 10.1007/BF01815272 2280579
4. D Knuttgen U Buttner-Belz A Gernot M Doehn 1990 Unstable blood pressure during anesthesia in diabetic patients with autonomic neuropathy Anaesth Intensivther Notfallmed 25 256 262 10.1055/s-2007-1001061
5. U Linstedt H Jaeqer A Petry 1993 The neuropathy of the autonomic nervous system. An additional anesthetic risk in diabetes mellitus Anaesthesist 42 521 527 8368473
6. A Vohra S Kumar AJ Charlton AO Olukoga AJ Boulton D McLeod 1993 Effect of diabetes mellitus on the cardiovascular responses to induction of anaesthesia and tracheal intubation Br J Anaesth 71 258 261 10.1093/bja/71.2.258 8123403
7. TW Latson TH Ashmore DJ Reinhart KW Klein AH Giesecke 1994 Autonomic reflex dysfunction in patients presenting for elective surgery is associated with hypotension after anesthesia induction Anesthesiology 80 326 337 10.1097/00000542-199402000-00013 8311315
8. C Keyl P Lemberger KD Palitzsch K Hochmuth A Liebold J Hobbhahn 1999 Cardiovascular autonomic dysfunction and hemodynamic response to anesthetic induction in patients with coronary artery disease and diabetes mellitus Anesth Analg 88 985 991 10.1097/00000539-199905000-00004 10320156 (Pubitemid 29211526)
9. AA Khan FA Khan 2009 Haemodynamic response to induction, laryngoscopy and tracheal intubation in diabetic and non-diabetic patients J Pak Med Assoc 59 27 30 19213373
10. ME Charlson CR MacKenzie JP Gold KL Ales M Topkins GT Shires 1990 Preoperative characteristics predicting intraoperative hypotension and hypertension among hypertensives and diabetics undergoing noncardiac surgery Ann Surg 212 66 81 10.1097/00000658-199007000-00010 2363606
11. K Tsueda KC Huang SW Dumont TJ Wieman MH Thomas MF Heine 1991 Cardiac sympathetic tone in anesthetized diabetics Can J Anesth 38 20 23 10.1007/BF03009158 1989735
12. G Van den Berghe P Wouters F Weekers C Verwaest F Bruyninckz M Schetz D Vlasselaers P Ferdinande P Lauwers R Bouillon 2001 Intensive insulin therapy in critically ill patients New Engl J Med 345 1359 1367 10.1056/NEJMoa011300 11794168
13. A Ouattara P Lecomte YL Manach M Landi S Jacqeminet I Platonov M Bonnet B Riou P Coriat 2005 Poor intraoperative blood glucose control is associated with a worsened hospital outcome after cardiac surgery Anesthesiology 103 687 694 10.1097/00000542-200510000-00006 16192760 (Pubitemid 41415516)
14. HL Lazar SR Chipkin CA Fitzerald Y Bao H Cabral CS Apstein 2004 Tight glycemic control in diabetic coronary artery bypass graft patients improves perioperative outcomes and decreases recurrent ischemic events Circulation 109 1497 1502 10.1161/01.CIR.0000121747.71054.79 15006999 (Pubitemid 38420177)
15. T Doenst D Wijeysundera K Karkouti C Zechner M Maganti V Rao MA Borger 2005 Hyperglycemia during cardiopulmonary bypass is an independent risk factor for mortality in patients undergoing cardiac surgery J Thorac Cardiovasc Surg 130 1144 1150 10.1016/j.jtcvs.2005.05.049 16214532 (Pubitemid 41427353)
16. FM Brunkhorst C Engel F Bloos A Meier-Hellmann M Ragaller N Weiler O Moerer M Gruendling M Oppert S Grond D Olthoff U Jaschinski S John R Rossaint T Welte M Schaefer P Kern E Kuhnt M Kiehntopf C Hartog C Natanson M Loeffler K Reinhart German Competence Network Sepsis (SepNet) 2008 Intensive insulin therapy and pentastarch resuscitation in severe sepsis N Engl J Med 358 125 139 10.1056/NEJMoa070716 18184958
17. JC Preiser P Devos S Ruiz-Santana C Mélot D Annane J Groeneveld G Iapichino X Leverve G Nitenberg P Singer J Wernerman M Joannidis A Stecher R Chioléro 2009 Prospective randomised multi-centre controlled trial on tight glucose control by intensive insulin therapy in adult intensive care units: the Glucontrol study Intensive Care Med 35 1738 1748 10.1007/s00134-009- 1585-2 19636533
18. NICE-SUGAR Study Investigators S Finfer DR Chittock SY Su D Blair D Foster V Dhingra R Bellomo D Cook P Dodek WR Henderson PC Hébert S Heritier DK Heyland C McArthur E McDonald I Mitchell JA Myburgh R Norton J Potter BG Robinson JJ Ronco 2009 Intensive versus conventional glucose control in critically ill patients N Engl J Med 360 1283 1297 10.1056/NEJMoa0810625 19318384
19. TM Vriesendorp SV Santen H DeVries ED Jonge FR Rosendaal MJ Schultz JL Hoekstra 2006 Predisposing factors for hypoglycemia in the intensive care unit Crit Care Med 34 96 101 10.1097/01.CCM.0000194536.89694.06 16374162 (Pubitemid 43032385)
20. M Egi R Bellomo E Stachowski CJ French GK Hart C Heqarty M Bailey 2008 Blood glucose concentrations and outcome of critical illness: the impact of diabetes Crit Care Med 36 2249 2255 10.1097/CCM.0b013e318181039a 18664780
21. M Wilson J Weinreb GW Hoo 2007 Intensive insulin therapy in critical care: a review of 12 protocols Diabetes Care 30 1005 1011 10.2337/dc06-1964 17213376 (Pubitemid 46556604)
22. M Raucoules-Aime Y Labib J Levraut P Gastaud C Dolis D Grimaud 1996 Use of i.v. insulin in well-controlled non-insulin-dependent diabetics undergoing major surgery Br J Anesth 76 198 202
23. A Thorell J Nygren O Ljungqvist 1999 Insulin resistance: a marker of surgical stress Curr Opin Clin Nutr Metab Care 2 69 78 10.1097/00075197- 199901000-00012 10453333 (Pubitemid 129628628)
24. A Thorell S Efendic M Gutniak T Haggmark O Ljungqvist 1993 Development of postoperative insulin resistance is associated with the magnitude of operation Eur J Surg 159 593 599 8130300
25. A Thorell A Loftenius B Andersson O Ljungqvist 1996 Postoperative insulin resistance and circulating concentrations of stress hormones and cytokines Clin Nutr 15 75 79 10.1016/S0261-5614(96)80023-9 16844002 (Pubitemid 26118193)
26. Y Saitoh H Hattori N Sanbe H Nakajima M Akatu M Murakawa 2005 Delayed recovery of vecuronium neuromuscular block in diabetic patients during sevoflurane anesthesia Can J Anesth 52 467 473 10.1007/BF03016524 15872123
27. Y Saitoh K Kaneda H Hattori H Nakajima M Murakawa 2003 Monitoring of neuromuscular block after administration of vecuronium in patients with diabetes mellitus Br J Anesth 90 480 486 10.1093/bja/aeg089 (Pubitemid 36432439)
28. Y Saitoh H Hattori N Sanbe H Nakajima M Akatu M Murakawa 2004 Reversal of vecuronium with neostigmine in patients with diabetes mellitus Anaesthesia 59 750 754 10.1111/j.1365-2044.2004.03833.x 15270964 (Pubitemid 39136669)
29. FJ Firriolo CS Miller NL Rhodus 2007 Perioperative management of diabetic patients Oral Surg Oral Med Oral Pathol Oral Radiol Endod 103 731 737 10.1016/j.tripleo.2006.11.029
30. AK Simpson N Levy GM Hall 2008 Peri-operative IV fluids in diabetic patients-don't forget the salt Anaesthesia 63 1043 1045 10.1111/j.1365-2044. 2008.05641.x 18821885
31. DJ Thomas KG Alberti 1978 Hyperglycemic effects of Hartmann's solution during surgery in patients with maturity onset diabetes Br J Anaesth 50 185 188 10.1093/bja/50.2.185 626700
32. GM Hall 2009 Management of diabetes during surgery: 30 yr of the Alberti regimen Anaesthesia 103 789 791 10.1093/bja/aep315
33. JE Arrowsmith HP Grocott JG Reves MF Newman 2000 Central nervous system complications of cardiac surgery Br J Anaesth 84 378 393 10793601
34. LS Tao CR Mackenzie ME Charlson 2008 Predictors of postoperative complications in the patient with diabetes mellitus J Diabetes Complications 22 24 28 10.1016/j.jdiacomp.2007.05.008 18191074
35. N Bentsen BO Larsen NA Lassin 1975 Chronically impaired autoregulation of cerebral blood flow in long-term diabetics Stroke 6 497 502 1179456
36. DNW Griffith S Saimbi C Lewis S Tolfree DJ Betteridge 1987 Abnormal cerebrovascular carbon dioxide reactivity in people with diabetes Diabetic Med 4 217 220 10.1111/j.1464-5491.1987.tb00865.x 2956022
37. P Dandona IM James ML Woollard P Newbury AG Beckett 1979 Instability of cerebral blood-flow in insulin-dependent diabetics Lancet 8 1203 1205 10.1016/S0140-6736(79)92330-4
38. G Rodrguez F Nobili MA Celestino S Francione G Gulli K Hassan S Marenco G Rosadini R Cordera 1993 Regional cerebral blood flow and cerebrovascular reactivity in IDDM Diabetes Care 16 462 468 10.2337/diacare.16.2.462 (Pubitemid 23046637)
39. DA Pelligrino RF Albrecht 1991 Chronic hyperglycemic diabetes in the rat is associated with a selective impairment of cerebral vasodilatory response J Cereb Blood Flow Metabol 11 667 677
40. N Croughwell M Lyth TJ Quill M Newman WJ Greeley LR Smith JG Reves 1990 Diabetic patients have abnormal cerebral autoregulation during cardiopulmonary bypass Circulation 82 Suppl IV 407 412
41. Y Kadoi S Saito D Yoshikawa F Goto N Fujita F Kunimoto 2002 Increasing mean arterial pressure has no effect on jugular venous oxygen saturation in insulin-dependent patients during tepid cardiopulmonary bypass Anesth Analg 94 1395 1401 10.1097/00000539-200206000-00004 12031995
42. 2 reactivity during anesthesia in patients with diabetes mellitus and peripheral vascular disease Anesthesiology 89 887 893 10.1097/00000542-199810000-00013 9778006 (Pubitemid 28463294)
43. 2 in anesthetized chronically diabetic dogs Am J Physiol 264 H1069 H1075 8476084
44. Y Kadoi H Hinohara F Kunimoto S Saito M Ide H Hiraoka F Kawahara F Goto 2003 Diabetic patients have an impaired cerebral vasodilatory response to hypercapnia under propofol anesthesia Stroke 34 2399 2403 10.1161/01.STR. 0000090471.28672.65 12958324 (Pubitemid 37221950)
45. IM Stratton AI Adler HAW Neil DR Matthews SE Manley CA Cull D Hadden RC Turner RR Holman 2000 Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study BMJ. 321 405 412 10.1136/bmj.321.7258.405 10938048
46. R Klein BEK Klein SE Moss MD Davis DL Demets 1988 Glycosylated hemoglobin predicts the incidence and progression of diabetic retinopathy JAMA 260 2864 2871 10.1001/jama.260.19.2864 3184351 (Pubitemid 18266031)
47. F Pallas DF Larson 1996 Cerebral blood flow in the diabetic patient Perfusion 11 363 370 10.1177/026765919601100502 8888057
48. Y Kadoi K Takahashi S Saito F Goto 2006 The comparative effects of sevoflurane versus isoflurane on cerebrovascular carbon dioxide reactivity in patients with diabetes mellitus Anesth Analg 103 168 172 10.1213/01.ane. 0000221188.09510.75 16790647 (Pubitemid 44036053)
49. Y Kadoi F Goto 2007 Effects of nicardipine-induced hypotension on cerebrovascular carbon dioxide reactivity in patients with diabetes mellitus under sevoflurane anesthesia J Anesth 21 125 130 10.1007/s00540-007-0500-7 17458638 (Pubitemid 46692001)
50. AY Gur I Bova NM Bornstein 1996 Is impaired cerebral vasomotor reactivity a predictive factor of stroke in asymptomatic patients? Stroke 27 2188 2190 8969778
51. C Kessler HM Junge ML Walker R Busack DM Albrecht KV Ackeren 1997 Reduced cerebral vasomotor reactivity as an indicator of postoperative confusion Anaesthesia 52 433 437 10.1111/j.1365-2044.1997.113-az0107.x 9165961
52. AY Peleg T Weerarathna JS McCarthy TME Davis 2007 Common infections in diabetes: pathogenesis, management and relationship to glycemic control Diabetes Metab Res Rev 23 3 13 10.1002/dmrr.682 16960917 (Pubitemid 46152480)
53. AG Mowat J Baum 1971 Chemotaxis of polymorphonuclear leukocytes from patients with diabetes mellitus New Engl J Med 284 621 627 10.1056/ NEJM197103252841201 5545603
54. JD Bagdade RK Root RJ Bulger 1974 Impaired leukocyte function in patients with poorly controlled diabetes Diabetes 23 9 15 4809622
55. AJ Rassias CAS Marrin J Arruda PK Whalen M Beach MP Yeager 1999 Insulin infusion improves neutrophil function in diabetic cardiac surgery patients Anesth Analg 88 1011 1016 10.1097/00000539-199905000-00008 10320160 (Pubitemid 29211530)
56. AP Furnary KJ Zerr GL Grunkemeier A Starr 1999 Continuous intravenous insulin infusion reduces the incidence of deep sternal wound infection in diabetic patients after cardiac surgical procedures Ann Thorac Surg 67 352 360 10.1016/S0003-4975(99)00014-4 10197653 (Pubitemid 29176984)
57. LR Schmeltz AJ DeSantis V Thiyagarajan K Schmidt E O'Shea-Mahler D Johnson J Henske PM McCarthy TG Gleason EC McGee ME Molitch 2007 Reduction of surgical mortality and morbidity in diabetic patients undergoing cardiac surgery with a combined intravenous and subcutaneous insulin glucose management strategy Diabetes Care 30 823 828 10.2337/dc06-2184 17229943 (Pubitemid 46556574)
58. K Dungan J Chapman SS Braithwaite J Buse 2007 Glucose measurement: confounding issues in setting targets for inpatient management Diabetes Care 30 403 409 10.2337/dc06-1679 17259520 (Pubitemid 46198356)