[Recent advances of monitoring and glycaemia control during early postoperative period in patients after pancreas surgery]

Anesteziol Reanimatol. 2013 Sep-Oct:(5):30-4.
[Article in Russian]

Abstract

Recently new technologies of diagnostics and correction of carbohydrates metabolism disturbances are introduced in the ICU to improve the safety for patients during intensive care. 33 patients after pancreas surgery were included into the study 13 patients (39%) had underlying diabetes mellitus. Glucose level changes in the interstitial liquid of the subcutaneous fat during postoperative period were monitored by system of CGM Medtronic MiniMed Guardian RT, MiniMed Paradigm Real-time. Valid values of glucose were from 4.1 to 10.1 mmol/L. Episodes of glucose level increasing occurred in 94% of patients in postoperative period after pancreas surgery. Average level of glucose was within the limits of valid values. However in 64% of cases patients needed insulin therapy Used systems of continuous glucose monitoring in the ICU allow improving the safety for patients receiving artificial nutrition and intravenous insulin therapy.

Publication types

  • Clinical Trial
  • English Abstract

MeSH terms

  • Adult
  • Aged
  • Diabetes Mellitus, Type 2 / complications
  • Diabetes Mellitus, Type 2 / drug therapy
  • Diabetes Mellitus, Type 2 / metabolism*
  • Extracellular Fluid / chemistry
  • Female
  • Glucose / analysis*
  • Humans
  • Hyperglycemia / drug therapy
  • Hyperglycemia / etiology
  • Hyperglycemia / metabolism*
  • Insulin / administration & dosage
  • Insulin / therapeutic use
  • Male
  • Middle Aged
  • Monitoring, Physiologic / instrumentation
  • Monitoring, Physiologic / methods*
  • Pancreatectomy / methods*
  • Pancreatic Diseases / complications
  • Pancreatic Diseases / metabolism
  • Pancreatic Diseases / surgery
  • Postoperative Complications / drug therapy
  • Postoperative Complications / etiology
  • Postoperative Complications / metabolism*
  • Young Adult

Substances

  • Insulin
  • Glucose