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Featured Articles: Infographic

A Different Game of Candyland: Managing Pediatric Patients With Type 1 Diabetes

Wanderer, Jonathan P. MD, MPhil; Nathan, Naveen MD

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doi: 10.1213/ANE.0000000000004718

With 1 in 300 pediatric patients living with type 1 diabetes mellitus, it is a condition that all anesthesiologists must be comfortable managing. While expert consultation is an essential component of managing this condition, for both emergency situations and for routine patient care, it is essential that perioperative clinicians be familiar with overall management strategies necessary for safely handling perioperative glycemic control. In this infographic, we review a recent set of management guidelines from the Society for Pediatric Anesthesia that describe the appropriate steps of action for treating these patients in the preoperative assessment phase, day of surgery care, intraoperative management, and finally, in the recovery area.

BG indicates blood glucose; DKA, diabetic ketoacidosis; INTRAOP, intraoperative; IV, intravenous; NPH, neutral protamine Hagedorn; PACU, postanesthesia care unit; PONV, postoperative nausea and vomiting; PO, per os; POSTOP, postoperative; PREOP, preoperative; PREP, preparation; q, every.

REFERENCE

1. Martin LD, Hoagland MA, Rhodes ET, Wolfsdorf JI, Hamrick JL; Society for Pediatric Anesthesia Quality and Safety Committee Diabetes Workgroup. Perioperative management of pediatric patients with type 1 diabetes mellitus, updated recommendations for anesthesiologists. Anesth Analg. 2020;130:821–827.
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