Preoperative Glycemic Control : Risk Assessment And Modification Essay

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Preoperative Glycemic Control Degie Gelaw American Sentinel University Preoperative Glycemic Control Preoperative assessment and evaluation of patients including those with diabetes undergoing elective surgical procedures provides optimum cardiopulmonary risk assessment and modification. Diabetes is a chronic illness that puts patients at a higher and complex intraoperative and postoperative complications (Fairburn & Elliot ,2014). This writer works in pre-surgical unit where patients undergoing surgical procedures under anesthesia are evaluated. For those patients with diabetes, glycemic control and optimization is part of the process. However, it remains to be an issue often leading to last minute surgery cancelations which can be very costly (Fairburn & Elliot ,2014) and/or not so optimal management of patients leading to untoward complications and increased length of stay. Studies suggest that the complex correlation between surgery, anesthesia, and impaired glucose can lead to serious complication such as impaired wound healing, infection, increased length of stay, and increased cardiovascular morbidity, and mortality (Fairburn & Elliot ,2014). “A rational approach to diabetes management allows the clinician to anticipate alterations in glucose and improve glycemic control perioperatively” (Fairburn & Elliot, 2014, p. 508). One approach essential to this ongoing problem is to identify patients as early in the preoperative process as possible and optimize

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