Raghad Hannon shinen Alsudani, Alaa Hussein Altaiee and Bushra khalid Altamimi
Baghdad medical city hospital, Iraq
Posters & Accepted Abstracts: Surgery Curr Res
Background: blood sugar increment during surgery is part of stress response, this increment is due to insulin dysfunction and glucose production and hyperglycemia increases complications. Aim of study: assess glucose level change intraoperatively and recovery in non-diabetic recipients in renal transplant surgery. Patients and methods: 52 patients from 1-1-2016 to 1-3-2017 In renal transplant center. all had general anesthesia with the same agents, monitoring of blood sugar pre-induction and every half hour, soluble insulin start to be given for patient when when blood sugar reach 200mg/dl as 1 unit for each 10 mg above 200 and recovery assessed using aldrete score. Results: there is variable increase in blood sugar among patients, 39/52 above 110 mg/dl at pre induction,1 patient was 276mg. 18/52 had 200-250 mg at least once among them,11patients reached 250-300mg,6 patients300-400 and 3reahed above400. 5 patients had delayed recovery with no significance relation to pre-induction level but significant to other readings, risk assessment showed more oddâ??s ratio for delayed recovery in high sugar reading and assessment of increment from preinduction is a valid test for delayed recovery. Conclusion: blood sugar measurement is mandatory in non-diabetic in renal transplant recipients. Key words: stress response to surgery, hyperglycemia delayed recovery.
Recent Publications
1. J.p.Desborough.The stress response to trauma and surgery: BJA 2000;vol 85 .Issue 1:p:109-117.
2. Charles de dacken. metabolic,the stress response to surgery and perioperative thermoregulation.Smith and Aitkenheadâ??s textbook of anesthesia.sixth edition.china:Churchill Livingstone Elsevier;2013:p187-189.
3. Marisa c.,Stanley A.,Zara c .Physiologic Response to Surgey . principle and practice of hospital medicine.chapter 44.Mc Graw Hill.2012.
4. Deborah B.,Grainne N.,George H. .Endocrine and Metabolic Response toSurgery:BJA2004.continuing education in Anesthesia Critical Care&Pain,vol4.Issu:p:144-147.
5. Iveta Golubovska,Indulis Vanags.Anaesthesia and Stress Response to Surgery:Lativia Academy of scince section B 2008.vol62.NO.4/5:p141-147.
6. Christopher c. c. Hudson,Ian J.Welsby et al.Glycosated hemoglobin level and outcome in non-diabetic cardiac surgery patients.CJA2010.volu57.issu6:p:565-572.
7. Aditi Sinha,Arvin Bagga.Pulse Steriod Therapy.Indian Journal of Pediatric2008.vol75.
8. Julia Munn.Urological Surgery.oxford handbook of anesthesia.third edition china.oxford university press. 2012:p:591606.
9. Vasanti Tilak,Catherine Schoenberg et al.Factors Associated with Increase Levels in the Perioperative Period in NonDiabetic Patients.Open Journal of Anesthesiology2013.vol 3,Article ID:31264,10.
10. Ulhas S.M.,Suchita A.J.,Mudassir M..Delayed Recovery from anesthesia:A postgraduate educational review. Anesthesia,Essay and Researches.Wolter Kluter-Medknow Publication 2016:10(2):p:164-172.
Raghoda Hannon shinen alsudani Consultant anesthetist at renal transplant center /medical city complex in Baghdad-Iraq. Member of Arab scientific council of anesthesia and ICU. Member of Iraqi board of anesthesia and ICU. MBCHB -1999 college of medicine university of Baghdad. FICMS/anesthesia 2006. Manager of ICU children hospital in medical city complex Baghdad 2006-2008. Anesthetist at renal transplant center since 2008 till now.
E-mail: alhur975alhur@gmail.com
