Importance of Perioperative Glycemic Control in General
Surgery: A Report from the Surgical Care and Outcomes Assessment Program
There is an evidence to show that poor preoperative and postoperative glycemic control is associated with poor surgical outcomes. Controlling the patient glucose levels to an acceptable range is liable to reduce the risk of developing complications. The clinical goal is to optimize metabolic control through close monitoring of patient, appropriate fluid intake and caloric repletion, and judicious utilization of insulin.
Patients with diabetic require surgical procedures at a higher rate and have longer hospital stays than those no diabetics. The presence of diabetic and/or hyperglycemia in surgical patients also leads to increased morbidity and mortality, with perioperative mortality rates higher than the non- diabetic population.
Reasons for these adverse outcomes are included failure to identify patients with diabetic and/or hyperglycemia; insulin prescribing errors; incremented preoperative and postoperative infections; incremented morbidity and mortality and include incremented wound infection rates.
Blood glucose should be monitored regularly during the preoperative and postoperative procedure to sanction early detection of any alterations in metabolic control. All patients receiving insulin before admission require insulin during the perioperative period.
1. This was a quasi-experimental study. The purpose of the study was