Society for Ambulatory Anesthesia Consensus Statement on Perioperative Blood Glucose Management in Diabetic Patients Undergoing Ambulatory Surgery
Society for Ambulatory Anesthesia Consensus Statement on Perioperative Blood Glucose Management in Diabetic Patients Undergoing Ambulatory Surgery
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DOI：
10.1213/ane.0b013e3181f9c288
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发表时间：
2010-12-01
影响因子：
5.7
通讯作者：
Twersky, Rebecca
中科院分区：
文献类型：
--
作者：
Joshi, Girish P.;Chung, Frances;Twersky, Rebecca
接受门诊手术的患者的最佳循证围手术期血糖控制仍然存在争议。因此，门诊麻醉学会制定了关于门诊手术患者围手术期血糖管理的共识声明。根据 Cochrane 协作组织推荐的方案对文献进行了系统回顾。共识小组使用建议、评估、开发和评估分级（GRADE）系统来提供建议。据透露，没有足够的证据为所提出的临床问题提供强有力的建议。在缺乏高质量证据的情况下，建议基于糖尿病患者血糖控制的一般原则、药物药理学、住院手术人群的数据以及临床经验和判断。此外，还确定了进一步研究的领域。
Optimal evidence-based perioperative blood glucose control in patients undergoing ambulatory surgical procedures remains controversial. Therefore, the Society for Ambulatory Anesthesia has developed a consensus statement on perioperative glycemic management in patients undergoing ambulatory surgery. A systematic review of the literature was conducted according the protocol recommended by the Cochrane Collaboration. The consensus panel used the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system for providing suggestions. It was revealed that there is insufficient evidence to provide strong recommendations for the posed clinical questions. In the absence of high-quality evidence, recommendations were based on general principles of blood glucose control in diabetics, drug pharmacology, and data from inpatient surgical population, as well as clinical experience and judgment. In addition, areas of further research were also identified.