Reference : Risque anesthesique lie a une neuropathie autonome cardiaque chez le patient diabetique.
Scientific journals : Article
Human health sciences : Anesthesia & intensive care
Risque anesthesique lie a une neuropathie autonome cardiaque chez le patient diabetique.
[en] Anaesthetic risk related to cardiac autonomic neuropathy in diabetic patients
Van Cauwenberge, Isabelle [Centre Hospitalier Universitaire de Liège - CHU > > Anesthésie et réanimation >]
Philips, Jean-Christophe mailto [Centre Hospitalier Universitaire de Liège - CHU > > Diabétologie,nutrition, maladies métaboliques >]
Scheen, André mailto [Université de Liège - ULiège > Département des sciences cliniques > Diabétologie, nutrition et maladie métaboliques - Médecine interne générale >]
Revue Médicale de Liège
Yes (verified by ORBi)
[en] Anesthesia, General/adverse effects ; Diabetes Mellitus, Type 1/complications ; Diabetes Mellitus, Type 2/complications ; Diabetic Neuropathies/complications/physiopathology ; Heart Arrest/etiology/prevention & control ; Humans ; Perioperative Care ; Postoperative Complications/prevention & control ; Risk Assessment
[en] Cardiac autonomic neuropathy is an underestimated complication among diabetic patients. It affects both the sympathetic and parasympathetic systems and is often associated with other, autonomic or not, complications, which make the patient even more frail. Some autonomic clinical manifestations have a direct impact on perioperative morbidity and mortality. The most important ones consist in haemodynamic instability, rhythmic disorders, mainly related to increased QT interval, and finally a higher risk of cardiorespiratory arrest. Recommendations are proposed before, during and after surgery to reduce the incidence of these complications in high risk patients. A screening for autonomic neuropathy may be helpful to improve the management of patients with diabetes who undergo surgery requiring general anaesthesia.
Researchers ; Professionals ; Students

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