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Hyperglycemic Hyperosmolar State 

Hyperglycemic Hyperosmolar State
Chapter:
Hyperglycemic Hyperosmolar State
Author(s):

Shamsuddin Akhtar

DOI:
10.1093/med/9780190226459.003.0031
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date: 19 September 2020

The incidence of diabetes mellitus has rapidly increased in recent years. Perioperative care of patients with diabetes presents challenges of glycemic control and management of associated cardiovascular disease. Diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS) are life-threatening complications of diabetes that require emergent therapy. Although elective surgery in patients with DKA or HHS is contraindicated, there are times when an emergent surgical condition may require anesthesia in the presence of DKA or HHS. There are many different factors that may precipitate these disorders and an understanding of the underlying pathophysiology and treatment is important for successful management of anesthesia.

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