Perioperative Diabetic Emergencies
Diabetes in surgical setting, in all the complex aspects of both, has not been covered as a separate chapter in major textbooks on diabetes . The information on the concomitantly present myriad aspects have remained scattered in the textbooks on surgery, anesthesia, or ICU protocols. All major textbooks on medicine have provided less than meager space for diabetes. As a result, the plethora of issues arising for the three major contributors, surgeons, physicians, and anesthetists have not been satisfactorily answered to conduct safe surgery and splendid recovery. A cohesive, comprehensive, and not ad hoc approach towards resolution of these difficulties has not been available. The iatrogenic issues that arise when multiple specialties must collaborate, agree upon certain matters, and take joint responsibility have never been discussed. This has led to fragmentation of care which cannot be more detrimental than in managing patients with diabetes undergoing major, acute, or critical surgical situations than in any other. This volume is one such effort to ease the situation.
- 1.Joslin EP. Joslin’s textbook of diabetes mellitus. 14th ed. Boston, MA: Lippincott, Williams & Wilkins; 2005, Indian edition.Google Scholar
- 8.American Diabetes Association. Hyperglycemic crisis in diabetes. Diabetes Care. 2004;27(Suppl 1):S94–102.Google Scholar
- 9.Chiasson J, Aris Jilwan N, Belanger R, et al. Diagnosis and treatment of diabetic ketoacidosis and hyperglycemic hyperosmolar state. Can Med Assoc J. 2003;168(7):859–66.Google Scholar
- 11.Launder M, Hammer D, Kelen GD.. Fluid and electrolyte problems In: Tintaneli JE, editor. Emergency medicine a comprehensive study guide. New York, NY: McGraw-Hill; 2004. p. 167–79.Google Scholar
- 12.Hitler TA, Abbott D, Barret EJ. Hyponatremia: evaluating the correction factor for hyperglycemia. Am J Med. 1299;106:399–403.Google Scholar