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首页> 外文期刊>Journal of Diabetes Science and Technology >Guidelines for Application of Continuous Subcutaneous Insulin Infusion (Insulin Pump) Therapy in the Perioperative Period
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Guidelines for Application of Continuous Subcutaneous Insulin Infusion (Insulin Pump) Therapy in the Perioperative Period

机译:围手术期连续皮下注射胰岛素(胰岛素泵)疗法的应用指南

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Case reports indicate that diabetes patients receiving outpatient insulin pump therapy have been allowed to continue treatment during surgical procedures. Although allowed during surgery, there is actually little information in the medical literature on how to manage patients receiving insulin pump therapy during a planned surgical procedure. A multidisciplinary work group reviewed current information regarding the use of insulin pumps in the perioperative period. Although the work group identified safety issues specific to surgical scenarios, it believed that with the use of standardized guidelines and a checklist, continuation of insulin pump therapy during the perioperative period is feasible. A sample set of protocols have been developed and are summarized. A policy outlining clear procedures should be established at the institutional level to guide physicians and other staf if the devices are to be employed during the perioperative period. Additional clinical experience with the technology in surgical scenarios is needed, and consensus should be developed for insulin pump use in the perioperative phases of care.
机译:病例报告表明,接受门诊胰岛素泵治疗的糖尿病患者已被允许在手术过程中继续治疗。尽管在手术期间允许使用,但医学文献中实际上很少有关于如何在计划的手术过程中管理接受胰岛素泵治疗的患者的信息。一个多学科的工作小组回顾了围手术期使用胰岛素泵的最新信息。尽管工作组确定了针对手术方案的安全性问题,但它认为,通过使用标准化指南和检查表,围手术期继续进行胰岛素泵治疗是可行的。已开发并概述了协议的样本集。如果要在围手术期使用器械,应在机构一级制定一项概述明确程序的政策,以指导医生和其他工作人员。需要在外科手术场景中使用该技术的其他临床经验,并且应该在围手术期护理阶段就胰岛素泵的使用达成共识。

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