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使用可穿戴糖尿病设备的患者的术后护理
Paulina Cruz1, Alexis M McKee1, Hou-Hsien Chiang2
1From the Division of Endocrinology, Metabolism & Lipid Research, Department of Medicine, Washington University in St Louis School of Medicine, St Louis, Missouri.
Anesthesia and analgesia
|June 24, 2024
概括
在手术期间使用自动胰岛素输送 (AID) 和持续血糖监测 (CGM) 管理糖尿病需要仔细规划. 使用这些先进的糖尿病技术进行术后血糖控制需要指导.
科学领域:
- 内分泌学 在内分泌学.
- 医疗器械 医疗器械
- 麻醉学 麻醉学
背景情况:
- 在糖尿病管理中越来越多地使用持续血糖监测 (CGM) 和自动胰岛素输送 (AID) 系统.
- 对于在手术和手术护理期间使用这些设备的患者的管理,存在有限的指导.
- 术后血糖控制对于患者的治疗结果至关重要.
研究的目的:
- 为在外科手术过程中管理糖尿病技术提供实际建议.
- 解决CGM和AID系统在外科外科环境中的使用问题.
- 概述了手术期间血糖管理和设备管理的策略.
主要方法:
- 审查当前的持续血糖监测 (CGM) 和胰岛素技术.
- 对影响器械功能和血糖控制的程序因素的分析.
- 为外科手术前糖尿病管理制定实用建议.
- 讨论与设备使用和替代胰岛素疗法相关的风险.
主要成果:
- 持续血糖监测 (CGM) 的准确性在外科手术期间可能受到限制,不应取代医疗监测.
- 自动化胰岛素输送 (AID) 系统需要功能性的CGM进行手术;否则,它们会恢复到非AID模式.
- 程序的持续时间,侵入性和患者因素需要主动管理和潜在的胰岛素治疗方案调整.
- 安全管理需要了解设备的局限性,并制定应急计划.
结论:
- 糖尿病技术的周术管理,包括CGM和AID,需要仔细考虑设备功能和患者特定因素.
- 提供了关于在手术治疗期间安全的血糖管理和设备使用的建议.
- 积极的计划和潜在的胰岛素替代方案对于最佳的术后结果至关重要.
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