2020–2021 BCSC Basic and Clinical Science Course™
1 Update on General Medicine
Chapter 15: Perioperative Management in Ocular Surgery
Management of Medical Conditions Associated with Increased Perioperative Risk
Management of blood glucose is important in avoiding central nervous system dysfunction. Although no single regimen works for all patients, in general, insulin-dependent patients should undergo surgery early in the day whenever possible to minimize disruption of their metabolic status, and their glucose levels should be monitored postoperatively. For a diet-controlled diabetic patient undergoing a brief surgical procedure, management generally involves only monitoring of the blood glucose level immediately after surgery and every 3 hours until oral intake is resumed. It is imperative to provide close perioperative monitoring of glucose and electrolyte levels.
Excerpted from BCSC 2020-2021 series: Section 1 - Update on General Medicine. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.