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

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 increasingl...

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Veröffentlicht in:Aesthetic surgery journal 2016-07, Vol.36 (7), p.821-830
Hauptverfasser: Dortch, John D., Eck, Dustin L., Ladlie, Beth, TerKonda, Sarvam P.
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container_end_page 830
container_issue 7
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container_title Aesthetic surgery journal
container_volume 36
creator Dortch, John D.
Eck, Dustin L.
Ladlie, Beth
TerKonda, Sarvam P.
description 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.
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source MEDLINE; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection
subjects Blood Glucose
Humans
Hyperglycemia - prevention & control
Perioperative Care - methods
Postoperative Complications - prevention & control
Practice Guidelines as Topic
Surgery, Plastic - adverse effects
title Perioperative Glycemic Control in Plastic Surgery: Review and Discussion of an Institutional Protocol
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