Preoperative steroids triggering diabetic ketoacidosis in the neurosurgical patient

•Diabetic Ketoacidosis (DKA) is a risk in neurosurgical patients after steroid therapy.•DKA can cause sudden deterioration of consciousness in these patients.•Handover should highlight any history of diabetes mellitus.•Institutional protocol for steroid therapy and serum glucose monitoring is advoca...

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Bibliographic Details
Published in:Journal of clinical anesthesia 2018-05, Vol.46, p.33-34
Main Authors: Rahman, Syed Abdul, Karmakar, Arunabha, Almustafa, Mamdouh M., Kumar, Neeraj
Format: Article
Language:English
Subjects:
Blood Glucose
Brain Neoplasms - diagnostic imaging
Brain Neoplasms - therapy
Craniotomy
Dexamethasone - adverse effects
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - urine
Diabetic ketoacidosis
Diabetic Ketoacidosis - blood
Diabetic Ketoacidosis - chemically induced
Diabetic Ketoacidosis - drug therapy
Diabetic Ketoacidosis - urine
Female
Glioma - diagnostic imaging
Glioma - therapy
Glucocorticoids - adverse effects
Humans
Insulin - therapeutic use
Middle Aged
Neurosurgery
Preoperative Care - adverse effects
Preoperative Care - methods
Serum glucose monitoring
Steroid
Tomography, X-Ray Computed
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Description
Summary:•Diabetic Ketoacidosis (DKA) is a risk in neurosurgical patients after steroid therapy.•DKA can cause sudden deterioration of consciousness in these patients.•Handover should highlight any history of diabetes mellitus.•Institutional protocol for steroid therapy and serum glucose monitoring is advocated.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2017.12.025