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By: (Author) Prakash Ambardekar , (Author) Sanjeev Kelkar , (Author) Shubhangi Muley
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This book covers the understanding of principles in the optimal management of diabetes to facilitate smooth and safe anesthesia and surgery with best possible outcomes. Chapters on Diabetic Emergencies, glycemic control in emergency and routine perioperative setting preoperative evaluation in routine and emergency surgery in the context and nature of surgical stress, intra and post-operative management of Neurosurgery, Cardiothoracic surgery, Gestational Diabetes, Bariatric surgery and other major surgeries of different systems is discussed in detail. The chapter on Metabolic Havoc of Uncontrolled Diabetes will give an in depth understanding of diabetic pathophysiology necessary in surgical situations as well. A special chapter covers commonly asked questions about surgery and diabetes.
Perioperative Diabetes management is often not addressed adequately despite many refined advancements of techniques in surgery, anesthesia as well as diabetes. That is because of inadequate understanding of insulin physiology and its pharmacokinetics and pharmacodynamics under normal and stressful conditions. Two chapters are written in a clear, succinct and understandable way on this issue for all concerned. The optimal management of surgery in diabetes for best results needs an integrated, collaborative, proactive approach among the three specialties. The surgeon, the anesthetist and the physician should know the central, basic ideas of management of diabetes and understand the contribution each one makes for the best outcome and limitations each of these specialties have.
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