Basem Abdelmalak, Michael Ibrahim, Jean-Pierre Yared, Mary Beth Modic and Christian Nasr Pages 6204 - 6214 ( 11 )
Increasingly more Americans are being diagnosed with diabetes mellitus, and the number of those using the continuous subcutaneous insulin infusion pump (CSII), commonly known as the insulin pump, is on the rise. Although evidence is lacking on how best to manage insulin pump patients perioperatively, several individual or institutional approaches have been developed. Here we propose a comprehensive algorithm for perioperative glycemic management in insulin pump patients undergoing noncardiac surgery. Where applicable, we discuss the rationale behind the algorithm.
Perioperative, glucose control, insulin pumps, diabetes, anesthesia
Departments of General Anesthesiology and Outcomes Research, Anesthesiology Institute, Cleveland Clinic, 9500 Euclid Ave., E-31, Cleveland, OH 44195.