Creating a Perioperative Glycemic Control Program
Author Information
Author(s): Sara M. Alexanian, Marie E. McDonnell, Shamsuddin Akhtar
Primary Institution: Boston University Medical Center
Hypothesis
How can hyperglycemia be effectively managed in surgical patients during the perioperative period?
Conclusion
Implementing a standardized perioperative glycemic control protocol can help manage hyperglycemia in surgical patients.
Supporting Evidence
- Hyperglycemia occurs in a significant percentage of hospitalized patients, especially those with diabetes.
- Postoperative hyperglycemia is associated with increased risk of infection and complications.
- Intravenous insulin is preferred for rapid correction of hyperglycemia in the perioperative period.
Takeaway
This study shows that having a plan to control blood sugar levels before, during, and after surgery can help keep patients safe and healthy.
Methodology
The study describes the development and implementation of glycemic control protocols at two institutions, focusing on insulin infusion strategies.
Limitations
The study lacks large-scale clinical trials specifically studying intraoperative glycemic control.
Participant Demographics
Patients with diabetes undergoing surgery.
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website