32.The Impact of Diabetes on Perioperative Outcomes

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Which of the following is NOT mentioned as a factor that may influence the management of intraoperative glucose?

Pregnancy

Type of operation

Type of diabetes (correct)

Expected global CNS insult

According to the World Health Organization's surgical safety checklist bundle, what is the target perioperative blood glucose concentration?

4 to 6 mmol/L

2 to 4 mmol/L

6 to 10 mmol/L (correct)

10 to 12 mmol/L

What is the impact of poor perioperative glycemic control on the risk of postoperative infection?

Moderate impact

No impact

Slight impact

Significant impact (correct)

Which trial demonstrated the benefit of tight glucose control in medical ICU patients?

The trial in Leuven, Belgium Signup and view all the answers

What were the blood glucose levels associated with moderate and severe hypoglycemia in the NICE-SUGAR trial?

41-70 mg/dL and ≤40 mg/dL Signup and view all the answers

What is the association between intensive glucose control and death in critically ill patients?

Intensive glucose control increases the risk of death Signup and view all the answers

Which of the following is considered more important for perioperative outcome than diabetes itself?

The end-organ effects of diabetes Signup and view all the answers

What is the target perioperative blood glucose concentration recommended by the World Health Organization's surgical safety checklist bundle?

6 to 10 mmol/L Signup and view all the answers

Which of the following is a potential risk of tight perioperative control of blood glucose levels?

Hypoglycemia Signup and view all the answers

What is the impact of poor perioperative glycemic control on the risk of postoperative infection?

Significant impact Signup and view all the answers

Where is much of the research on perioperative control derived from?

ICU Signup and view all the answers

What is the recommended range for perioperative blood glucose concentration according to the World Health Organization's surgical safety checklist bundle?

6-10 mmol/L Signup and view all the answers

What is the association between tight glucose control and the severity of diabetes itself?

Negative association Signup and view all the answers

Which of the following may influence the management of intraoperative glucose?

All of the above Signup and view all the answers

What is the impact of poor perioperative glycemic control on the risk of postoperative infection?

Significant impact Signup and view all the answers

What does the World Health Organization's surgical safety checklist bundle suggest for perioperative blood glucose control?

Tight control Signup and view all the answers

Which trial examined the associations between moderate and severe hypoglycemia and death among critically ill patients in ICUs?

The NICE-SUGAR trial Signup and view all the answers

What is the range of blood glucose levels associated with moderate hypoglycemia in the NICE-SUGAR trial?

41-70 mg/dL [2.3-3.9 mmol/L] Signup and view all the answers

What is the range of blood glucose levels associated with severe hypoglycemia in the NICE-SUGAR trial?

≤40 mg/dL [2.2 mmol/L] Signup and view all the answers

What is the association between intensive glucose control and death in critically ill patients?

There is a positive association Signup and view all the answers

Which type of shock is the association between intensive glucose control and death strongest for?

Distributive shock Signup and view all the answers

What was the purpose of the trial on perioperative management mentioned in the text?

To review the optimal perioperative management Signup and view all the answers

What were the blood glucose levels associated with moderate and severe hypoglycemia in the NICE-SUGAR trial?

Moderate: 41-70 mg/dL [2.3-3.9 mmol/L], Severe: ≤40 mg/dL [2.2 mmol/L] Signup and view all the answers

What is the focus of the guidelines developed on insulin infusions in the critical care unit?

Tight glucose control Signup and view all the answers

What was the impact of intensive glucose control on the risk of death in the NICE-SUGAR trial?

Increased risk Signup and view all the answers

Which country was the first major trial demonstrating the benefit of tight glucose control conducted in?

Belgium Signup and view all the answers

32.The Impact of Diabetes on Perioperative Outcomes

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Questions and Answers

Which of the following is NOT mentioned as a factor that may influence the management of intraoperative glucose?

According to the World Health Organization's surgical safety checklist bundle, what is the target perioperative blood glucose concentration?

What is the impact of poor perioperative glycemic control on the risk of postoperative infection?

Which trial demonstrated the benefit of tight glucose control in medical ICU patients?

What were the blood glucose levels associated with moderate and severe hypoglycemia in the NICE-SUGAR trial?

What is the association between intensive glucose control and death in critically ill patients?

Which of the following is considered more important for perioperative outcome than diabetes itself?

What is the target perioperative blood glucose concentration recommended by the World Health Organization's surgical safety checklist bundle?

Which of the following is a potential risk of tight perioperative control of blood glucose levels?

What is the impact of poor perioperative glycemic control on the risk of postoperative infection?

Where is much of the research on perioperative control derived from?

What is the recommended range for perioperative blood glucose concentration according to the World Health Organization's surgical safety checklist bundle?

What is the association between tight glucose control and the severity of diabetes itself?

Which of the following may influence the management of intraoperative glucose?

What is the impact of poor perioperative glycemic control on the risk of postoperative infection?

What does the World Health Organization's surgical safety checklist bundle suggest for perioperative blood glucose control?

Which trial examined the associations between moderate and severe hypoglycemia and death among critically ill patients in ICUs?

What is the range of blood glucose levels associated with moderate hypoglycemia in the NICE-SUGAR trial?

What is the range of blood glucose levels associated with severe hypoglycemia in the NICE-SUGAR trial?

What is the association between intensive glucose control and death in critically ill patients?

Which type of shock is the association between intensive glucose control and death strongest for?

What was the purpose of the trial on perioperative management mentioned in the text?

What were the blood glucose levels associated with moderate and severe hypoglycemia in the NICE-SUGAR trial?

What is the focus of the guidelines developed on insulin infusions in the critical care unit?

What was the impact of intensive glucose control on the risk of death in the NICE-SUGAR trial?

Which country was the first major trial demonstrating the benefit of tight glucose control conducted in?

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