Anesthetic Management of a Diabetic Patient With a Suspected Hyperosmolar Hyperglycemic State: A Case Report - PubMed
4 days ago
- #Hyperglycemia
- #Anesthesia
- #Diabetes
- Hyperosmolar hyperglycemic state (HHS) is a life-threatening complication of type 2 diabetes.
- A 76-year-old diabetic patient developed HHS post oral cancer surgery due to infection and pneumonia.
- Patient's blood glucose exceeded 500 mg/dL, with severe dehydration and hyperosmolality (effective osmolality >300 mOsm/kg).
- Emergency surgery was performed under general anesthesia after fluid and insulin therapy.
- Awake intubation was done using midazolam and fentanyl before anesthesia induction.
- Patient recovered well post-surgery, with resolved HHS.
- Perioperative monitoring for HHS is crucial even in well-controlled diabetic patients.