Perioperative Glycemic Control in Plastic Surgery: Review and Discussion of an Institutional Protocol.

Autor:	Dortch JD; From the Departments of Anesthesiology and Surgery, Mayo Clinic Florida, Jacksonville, FL, USA., Eck DL; From the Departments of Anesthesiology and Surgery, Mayo Clinic Florida, Jacksonville, FL, USA., Ladlie B; From the Departments of Anesthesiology and Surgery, Mayo Clinic Florida, Jacksonville, FL, USA., TerKonda SP; From the Departments of Anesthesiology and Surgery, Mayo Clinic Florida, Jacksonville, FL, USA.
Jazyk:	angličtina
Zdroj:	Aesthetic surgery journal [Aesthet Surg J] 2016 Jul; Vol. 36 (7), pp. 821-30. Date of Electronic Publication: 2016 Jun 14.
DOI:	10.1093/asj/sjw064
Abstrakt:	Perioperative hyperglycemia is a well-known risk factor for surgical morbidity such as wound healing, infection, and prolonged hospitalization. This association has been reported for a number of surgical subspecialties, including plastic surgery. Specialty-specific guidelines have become increasingly available in the literature. Currently, glucose management guidelines for plastic surgery are lacking. Recognizing that multiple approaches exist for perioperative glucose, protocol-based models provide the necessary structure and guidance for approaching glycemic control. In this article, we review the influence of diabetes on outcomes in plastic surgery patients and propose a practical approach to perioperative blood glucose management based on current Endocrine Society and Mayo Clinic institutional guidelines. (© 2016 The American Society for Aesthetic Plastic Surgery, Inc. Reprints and permission: journals.permissions@oup.com.)
Databáze:	MEDLINE
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