A Prospective Randomised Control Study to Compare Hyperglycemic Stress Response to General Anaesthesia in Non Diabetics and Controlled Diabetics Posted for Elective Surgical Procedures

Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 7

Abstract

Diabetic patients presenting for elective surgical procedures will place an increasing burden on anaesthetic services. The effects of surgical stress and anesthesia result in a a hypermetabolic stress response, referred to as “stress hyperglycemia”. The aim of the study is to compare stress response to general anaesthesia by measuring the rise in blood glucose levels in controlled diabetics posted for elective surgical procedures in comparision with non-diabetic patients .Study was conducted in Department of Anaesthesiology, Osmania Medical College/Hospital, Hyderabad during 2010- 2012 in Fifty ASA Grade I & Grade II patients. Institutional Ethics Committee has approved the study, written and informe consent was obtained from the patients. The study population were in the age group of 35-55 years, of either sex divided into two groups scheduled for elective surgical procedures of 2 hours of duration (viz., laporatomy, thyroidectomy). A Opiod (Fentanyl) and Propofol based balanced general anaesthesia technique adequately attenuates Hyperglycemic Stress Response in Controlled Diabetics.

Authors and Affiliations

Pacharla Indira

Keywords

Related Articles

Evaluation of Addition of 50 µg of Dexmedetomidine to 10ML of 2% Lignocaine with Adrenaline and 10ML 0.5% Bupivacaine on Block Characteristics in Ultrasound Guided Supraclavicular Brachial Plexus Block

Ultrasound has gained popularity in the last few years for peripheral nerve blocks which provides real time visualization of the nerves to be blocked and also reduces the volume of drug to be injected. Aims and Objective...

A Prospective Randomized Comparative Study of Epidural Block and General Anesthesia for Percutaneous Nephrolithotomy for Hemodynamic Stability and Postoperative Analgesia

Percutaneous nephrolithotomy (PCNL) is a minimally invasive procedure for removal of calculi in pelvicalyceal system which is usually performed under general anaesthesia. We conducted a prospective, randomized, comparati...

Nalbuphine as an Intrathecal Adjuvant is a Good Alternative to Fentany l

Background: 0.5% Bupivacaine used in subarachnoid block provides about 3 hours of analgesia. Opioids morphine and Fentanyl are used as adjuvant to produce extended postoperative analgesia. Nalbuphine is an agonist antago...

To Evaluate the Efficacy of Ultrasound in Assessing Subglottic Tracheal Diameter for Endotracheal Intubation

Introduction: This study was conducted to assess the accuracy of ultrasound for estimation of appropriate sized endotracheal tube. Methods: Patients underwent preoperative ultrasound examination during pre-anesthetic che...

The Effect of Lignocaine versus Ramosetron on Attenuation of Propofol Induced Pain

Propofol is widely used for induction of anaesthesia, although the pain during its injection remains a concern for all anaesthesiologists. A number of techniques have been adopted to minimise propofol induced pain. Vario...

Download PDF file
  • EP ID EP535625
  • DOI 10.21088/ijaa.2349.8471.5718.24
  • Views 80
  • Downloads 0

How To Cite

Pacharla Indira (2018). A Prospective Randomised Control Study to Compare Hyperglycemic Stress Response to General Anaesthesia in Non Diabetics and Controlled Diabetics Posted for Elective Surgical Procedures. Indian Journal of Anesthesia and Analgesia, 5(7), 1239-1246. https://europub.co.uk./articles/-A-535625