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Regional anaesthesia in patients with diabetes
Author(s) -
Levy N.,
Lirk P.
Publication year - 2021
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/anae.15258
Subject(s) - medicine , diabetes mellitus , regional anaesthesia , harm , intensive care medicine , general anaesthesia , incidence (geometry) , risk factor , surgery , anesthesia , political science , law , endocrinology , physics , optics
Summary Diabetes is the most common metabolic condition worldwide and about 20% of surgical patients will have this condition. It is a major risk‐factor for worse outcomes after surgery including mortality; infective and non‐infective complications; and increased length of stay. However, diabetes is a modifiable risk‐factor, and programs to improve medical management have the potential to reduce peri‐operative complications and the risk of harm. Regional anaesthesia has well‐documented benefits in promoting the restoration of function but there are legitimate concerns that the incidence of complications of regional anaesthesia in patients with diabetes is higher. The aim of this review is to explore in detail the various potential advantages and disadvantages of regional anaesthesia in patients with diabetes. This, in turn, will allow practitioners to undertake more informed shared decision‐making and potentially modify their anaesthetic technique for patients with diabetes.