Perioperative management of diabetic patients undergoing elective procedures. Part 2

Abstract

Major diagnostic and therapeutic procedures are particularly problematic and hazardous in individuals with diabetes. Metabolic imbalances, as well as cardiovascular, renal, neurological, psychiatric and thromboembolic complications are not uncommon. The main causes of the above-averagely high rate of peri-and postoperative complications in diabetic inpatients undergoing elective procedures include: multimorbidity, poly-pharmacy, short hospital stay, inadequate training of physicians and nurses dealing with this complex disease, cost pressure, and insufficient patient preparation. Part 1 discusses the perioperative management of the diabetes in adults during the individual stages, ranging from the preoperative phase to discharge (Der Diabetologe 2017. DOI: 10.1007/s11428-017-0202-1), while Part 2 provides detailed recommendations on the pre-and perioperative management of psychotropic drugs, cardiovascular agents, antihypertensive drugs, and anticoagulants.