1 / 5

Julie L Williams M.D., M.S. CA-1

Diabetes Mellitus in a pre-operative patient: associated risks and complications of general anesthesia. Julie L Williams M.D., M.S. CA-1. Assessing severity of DM. Gold standard: HemoglobinA1c Goals of <5.5-6% Often a recent HbA1c is not available...

benito
Télécharger la présentation

Julie L Williams M.D., M.S. CA-1

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Diabetes Mellitus in a pre-operative patient: associated risks and complications of general anesthesia Julie L Williams M.D., M.S. CA-1

  2. Assessing severity of DM • Gold standard: HemoglobinA1c • Goals of <5.5-6% • Often a recent HbA1c is not available... • Evaluate patient in pre-operative clinic setting with basic metabolic panel, accucheck, repeat blood glucose test on morning of surgery. • Body Habitus • Type 1 vs. Type 2 • Pharmacologic management

  3. Specific pre-operative concerns • D.M., no matter how well or poorly controlled is a risk factor for CAD and major cardiac event in perioperative setting. • Pre operative testing EKG CMP fasting and post prandial blood glucose Urinalysis CBC

  4. ASA/ACA guidlines

More Related