The endocrinologist gap: Managing diabetes patients in absence of a specialist
The endocrinologist gap: Managing diabetes patients in absence of a specialist

The endocrinologist gap: Managing diabetes patients in absence of a specialist

Paediatr Anaesth. 2024 Jun 18. doi: 10.1111/pan.14948. Online ahead of print.

ABSTRACT

The treatment of pediatric patients with diabetes is frequently orchestrated within a multidisciplinary framework at tertiary, specialized institutions. In situations where emergent surgery is indicated or when a procedure is scheduled in a facility devoid of an endocrinology service, the onus of managing perioperative glycemic levels may rest with the attending anesthesiologist. The objective of this review is to furnish a comprehensive examination of the anesthetic considerations and perioperative governance of pediatric patients with diabetes. Furthermore, this paper delineates a streamlined protocol for perioperative glycemic control, tailored to both major and minor surgical interventions.

PMID:38887922 | DOI:10.1111/pan.14948