Premium
Use of continuous subcutaneous insulin infusion (CSII) therapy in pediatric diabetes patients in the perioperative period
Author(s) -
Vanderhoek Samuel M.,
Wolf Risa M.
Publication year - 2019
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/pan.13708
Subject(s) - medicine , perioperative , insulin , diabetes mellitus , infusion therapy , intensive care medicine , period (music) , pediatrics , anesthesia , endocrinology , physics , acoustics
Diabetes mellitus is one of the most common endocrinopathies encountered in the perioperative period, and the pediatric population is increasingly using continuous subcutaneous insulin infusions for diabetes management. As these patients present for procedures or surgery requiring anesthesia, the anesthesia provider is charged with the task of managing these pumps perioperatively. Here, we review our experience from a large tertiary care academic medical center and propose recommendations for the perioperative management of children and adolescents with diabetes who use insulin pumps.