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Concomitant problems to the anaesthesia of diabetic vitrectomy patients
Author(s) -
Karhunen U.,
Summanen P.,
Laatikainen L.
Publication year - 1987
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.1987.tb06999.x
Subject(s) - medicine , anesthesia , nausea , diabetes mellitus , blood pressure , surgery , morning , vitrectomy , diabetic ketoacidosis , general anaesthesia , visual acuity , endocrinology
Problems related to general anaesthesia of 109 consecutive vitrectomies performed on diabetic patients were retrospectively reviewed. On the morning of surgery a normal or a slightly reduced dose of the patient's regular insulin was administered subcutaneously. The amount of intravenous infusion, mostly 5% glucose, was calculated according to the pre‐operative urine volume. After surgery, hypoglycaemic (< 3 mmol/l) values were seen in < 11% of the patients, and high glucose in < 30%; 20% had a mild ketoacidosis post‐operatively. Difficulties in tracheal incubation was encountered in 10%. Three patients complained of chest pain after surgery, and in one of them a myocardial infarction was diagnosed. Forty‐one per cent of the patients complained of nausea or vomited in the afternoon after surgery, and 21% had difficulties in urination the night after surgery. Two of four patients with peritoneal dialysis complained of stomach pain postoperatively. There was no significant association between recurrent vitreous haemorrhage and blood glucose concentration or arterial blood pressure in the early post‐operative period.