Journal of clinical anesthesia
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Observational Study
Effect of basal insulin dosage on blood glucose concentration in ambulatory surgery patients with type 2 diabetes.
Among patients with type 2 diabetes treated with insulin, perioperative hyperglycemia and hypoglycemia may cause undesirable symptoms, surgery delay or cancellation, or unexpected hospitalization. Our objective was to compare preoperative glargine dosing regimens on perioperative glycemic control in patients undergoing ambulatory surgery. ⋯ Our study shows that the percent of normal insulin dose given the evening before surgery directly impacts perioperative glucose levels in ambulatory surgery patients. Patients taking 60%-87% of their usual dose the evening before surgery were likely to arrive in target blood glucose range with decreased risk for hypoglycemia. The mean and mode dose taken in Group 3 were 73% and 75%, respectively, suggesting that the optimal dose may be 75% of normal dose.
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Letter Case Reports Retracted Publication
Lumbar vertebra surgery performed with a bilateral retrolaminar block.
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Letter Case Reports Retracted Publication
Lower limb amputations performed with anterior quadratus lumborum block and sciatic nerve block.
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Letter Case Reports Retracted Publication
Perioperative analgesia for carotid endarterectomy in NSAIDs allergy.