Blood sugar level intra-operatively and effect on recovery from general anesthesia in non-Diabetic recipient in renal transplant surgery
Surgery: Current Research

Surgery: Current Research
Open Access

ISSN: 2161-1076

+44 1704335730

Blood sugar level intra-operatively and effect on recovery from general anesthesia in non-Diabetic recipient in renal transplant surgery

Joint Event 7th International Conference and Exhibition on Surgery & 3rd International Conference on Anesthesia

June 21-23, 2018 Dublin, Ireland

Alaa Hussein Altaiee, Raghad Hannon Shinen Alsudani and Bushra Khalid Altamimi

Baghdad medical city hospital, Iraq

Posters & Accepted Abstracts: Surgery Curr Res

Abstract :

Background: Blood sugar increment during surgery is a part of stress response; this increment is due to insulin dysfunction and glucose production, which leads to increased complications due to hyperglycemia. Aim: To assess glucose level change, intra-operatively and recovery in non-diabetic recipients in renal transplant surgery. Patients & Methods: Fifty-two patients from 1-1-2016 to 1-3-2017 in renal transplant center. All the patients were given general anesthesia with the same agents, monitoring of blood sugar pre-induction and every half hour, soluble insulin was administered when the blood sugar reached 200 mg/dl as 1 unit for each 10 mg above 200. Recovery was assessed using Aldrete’s scoring system. Results: There was variable increase in blood sugar among patients; 39/52 above 110 mg/dl at pre-induction and 1 patient was 276 mg. 18/52 had 200–250 mg at least once; among them, 11 patients reached 250–300 mg, six patients 300–400 and three reached above 400. Five patients had delayed recovery with no significant relation to pre-induction level, but significant to other readings, risk assessment showed more odds ratio for delayed recovery in high sugar reading. Assessment of increment from pre-induction is a valid test for delayed recovery. Conclusion: Blood sugar measurement is mandatory in non-diabetic in renal transplant recipients.
Recent Publications
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Biography :

Alaa Hussein Altaiee is a Chairman of Arab Board Scientific Council of Anesthesia and I.C.U Renal Transplant Center Medical City.

E-mail: [email protected]