2016, Number 6
Med Int Mex 2016; 32 (6)
Gómez-Romero P, Cabrera-Jardines R, Díaz-Greene E, Rodríguez-Weber FL
PDF size: 183.51 Kb.
ABSTRACTPatients under physiological stress, especially during the perioperative period, have multiple metabolic abnormalities, which predispose to glycemic alterations, such as hyperglycemia and hypoglycemia. There is ample evidence of the relationship between dysglycemia and higher postoperative mortality, increased risk of infectious and cardiopulmonary complications, reoperation, higher incidence of stroke and acute kidney injury, among other adverse outcomes. By knowing and understanding the importance of perioperative glycemic control, we suggest areas of research aimed at the determination of an appropriate perioperative glycemic goal, to establish optimal therapeutic approaches and at the creation of inpatient protocols for perioperative glycemic control. It also commits us to form a medical teamwork for timely identification and appropriate management of patients at risk or with dysglycemia in the perioperative period.