Intraoperative diagnosis of type 1 diabetes and diabetic ketoacidosis during scoliosis surgery

Intraoperative diagnosis of type 1 diabetes and diabetic ketoacidosis during scoliosis surgery

Diabetic ketoacidosis is the leading cause of morbidity and mortality in children with type 1 diabetes. Management of diabetic ketoacidosis requires meticulous monitoring and treatment of severe dehydration and metabolic derangement. We present an adolescent patient who was diagnosed with diabetic k...

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Veröffentlicht in:Pediatric anesthesia 2023-08, Vol.33 (8), p.665-667
Hauptverfasser: Loh, Katherine H., Kelley, Jennifer C., Eagle, Susan S.
Format: Artikel
Sprache:eng
Schlagworte:
Adolescent
anesthesia
cerebral edema
Child
Diabetes Mellitus, Type 1 - complications
Diabetic ketoacidosis
Diabetic Ketoacidosis - diagnosis
Diabetic Ketoacidosis - therapy
Humans
Scoliosis - surgery
type 1 diabetes
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Zusammenfassung:Diabetic ketoacidosis is the leading cause of morbidity and mortality in children with type 1 diabetes. Management of diabetic ketoacidosis requires meticulous monitoring and treatment of severe dehydration and metabolic derangement. We present an adolescent patient who was diagnosed with diabetic ketoacidosis during spinal fusion for idiopathic scoliosis and discuss the management of this unexpected intraoperative emergency.
ISSN:1155-5645
1460-9592
DOI:10.1111/pan.14686