>

MEETINGS / EVENTS

RSS

January 23 - 25 2015, 12:00 AM - 12:00 AM

ASA PRACTICE MANAGEMENT 2015

February 07 - 08 2015, 12:00 AM - 12:00 AM

ASA Certificate in Business Administration 2015

June 26 - 28 2015, 12:00 AM - 12:00 AM

Annual Perioperative Surgical Home Summit

>

FDA MEDWATCH ALERTS

November 21, 2014

FDA MedWatch - Respironics California, Esprit V1000 and V200 Ventilators: Class I Recall - Power Failure May Occur

Summary:

FDA MedWatch Respironics California Esprit V1000 and V200 Ventilators Class I Recall

November 07, 2014

FDA MedWatch - Nellcor Puritan Bennett, 980 Ventilator System: Class I Recall - Software Issue May Stop Ventilator

Summary:

FDA MedWatch Nellcor Puritan Bennett 980 Ventilator System Class I Recall

October 25, 2014

FDA MedWatch - Intravia Containers by Baxter: Recall - Particulate Matter

Summary:

FDA MedWatch Intravia Containers by Baxter Recall

>

ASA FEATURED PRODUCT

Add this product to your shopping cart

Self-Education and Evaluation (SEE) Program

SKU: 30701-14CE

... Read more »

Single Copies, Member Price: $360

Normal Blood Glucose Levels in Diabetics Presenting for Surgery Were Associated with Increased Mortality from Non-Cardiac Surgery as Compared with Non-Diabetics

San Diego — (October 18, 2010) 

A clinical study presented at ANESTHESIOLOGY 2010 discovered that diabetics who presented for non-cardiac surgery with near normal blood sugar levels were at increased risk of death, as compared with their non-diabetic counterparts.

Researchers at Cleveland Clinic looked at the relationship between blood sugar levels before surgery and the occurrence of complications and death after non-cardiac surgeries, comparing the relationship between those with diabetes and those without.

The study found that the relationship between blood sugar levels and the likelihood of complications after surgery was not significantly different between diabetics and non-diabetics. However, the research showed a significant difference between diabetics and non-diabetics in terms of the relationship between blood sugar levels before surgery and deaths within one year of surgery. Non-diabetic patients with high blood sugar levels had a higher risk of dying from non-cardiac surgery compared with diabetics with high blood sugar levels. Conversely, normal blood sugar levels in diabetics were associated with a higher risk of death within one year after non-cardiac surgery versus non-diabetics. 

"It is possible that non-diabetics with high blood sugar were undiagnosed and thus, untreated diabetics," said Basem Abdelmalak, M.D., study investigator and Staff Anesthesiologist and Director of Anesthesia for Bronchoscopic Surgery at Cleveland Clinic. "It is also possible that diabetics who have lived with high blood sugar for long periods of time have become accustomed to this state and may have reset their metabolism, becoming unable to tolerate lower blood glucose levels. This is similar to what happens to patients with long-term high blood pressure."

About the Study
Researchers used specific data from surgeries on 61,536 patients who had elective surgery between January 2005 and November 2009. Overall, 15.8 percent had diabetes. 

The study examined two main outcomes: in-hospital complications after surgery (including cardiac, neurological, urologic and infectious complications) and death within one year of surgery. The study analyzed such associations using both crude and adjusted figures. The adjusted figures took into account other factors that may have contributed to poor outcomes, such as age and heart disease.

"The usual treatment goal for diabetics is maintaining normal blood sugar levels," said Dr. Abdelmalak. "However, knowledge of a higher risk of dying may stimulate further research that potentially could affect how diabetics with hyperglycemia (high sugar) are managed for their non-cardiac surgery."

THE AMERICAN SOCIETY OF ANESTHESIOLOGISTS

Founded in 1905, the American Society of Anesthesiologists (ASA) is an educational, research and scientific society with more than 52,000 members organized to raise and maintain the standards of the medical practice of anesthesiology. ASA is committed to ensuring physician anesthesiologists evaluate and supervise the medical care of patients before, during and after surgery to provide the highest quality and safest care every patient deserves.

For more information on the field of anesthesiology, visit the American Society of Anesthesiologists online at asahq.org . To learn more about the role physician anesthesiologists play in ensuring patient safety, visit asahq.org/WhenSecondsCount. Like ASA on Facebook , follow ASALifeline on Twitter and follow ASA on LinkedIn .

###

Contact:

American Society of Anesthesiologists
pr@asahq.org
847-825-5586