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Intraoperative Insulin Administration And Hypoglycemia In Diabetic Patients, Eric Schwenk, Md, Richard H. Epstein, Md, Cphims, Boris Mraovic
Intraoperative Insulin Administration And Hypoglycemia In Diabetic Patients, Eric Schwenk, Md, Richard H. Epstein, Md, Cphims, Boris Mraovic
Department of Anesthesiology Faculty Papers
Introduction:
Although studies are conflicting as to the benefit of intensive insulin therapy (IIT) in the critically ill, there is a 6x increase in hypoglycemia incidence in patients treated with IIT.
Anesthesia masks signs and symptoms of hypoglycemia, making intraop hypoglycemia difficult to detect clinically.
We performed this retrospective, observational analysis to:
Determine the incidence of intraoperative hypoglycemia and severe hypoglycemia
Evaluate possible causes of hypoglycemia
Determine intraop monitoring and treatment practices of diabetic patients at a large academic hospital