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Erschienen in: Journal für Klinische Endokrinologie und Stoffwechsel 4/2017

01.12.2017 | Originalien

Perioperatives Management von Menschen mit Diabetes bei elektiven Eingriffen

Teil 2

verfasst von: Prof. Dr. R. Landgraf, V. Klauss, M. Middeke, F. Tretter, J. Koscielny

Erschienen in: Journal für Endokrinologie, Diabetologie und Stoffwechsel | Ausgabe 4/2017

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Zusammenfassung

Größere diagnostische und therapeutische Eingriffe sind für Menschen mit Diabetes besonders problematisch und gefährlich. Stoffwechselentgleisungen, kardiovaskuläre, renale, neurologische, psychiatrische und thrombembolische Komplikationen sind nicht selten. Wesentliche Gründe für deren überdurchschnittliche Rate bei Diabetespatienten im Krankenhaus sind deren häufige Multimorbidität, die notwendige Polypharmazie, eine kurze Liegedauer, unzureichendes Training von Ärzten und Pflegepersonal dieser komplex Kranken, Kostendruck und ungenügende Vorbereitung der Patienten vor elektiven Eingriffen. Die perioperative Betreuung von Erwachsenen mit deren Diabeteserkrankung wurde im Teil 1 dieses Beitrags in den einzelnen Phasen von präoperativ bis zur Entlassung diskutiert (Der Diabetologe 2017. DOI: 10.​1007/​s11428-017-0202-1), im Teil 2 werden detaillierte Empfehlungen zum Umgang mit Psychopharmaka, Kardiaka, Antihypertensiva und Antikoagulanzien prä- und perioperativ gegeben.

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Metadaten
Titel
Perioperatives Management von Menschen mit Diabetes bei elektiven Eingriffen
Teil 2
verfasst von
Prof. Dr. R. Landgraf
V. Klauss
M. Middeke
F. Tretter
J. Koscielny
Publikationsdatum
01.12.2017
Verlag
Springer Vienna
Erschienen in
Journal für Endokrinologie, Diabetologie und Stoffwechsel / Ausgabe 4/2017
Print ISSN: 3004-8915
Elektronische ISSN: 3004-8923
DOI
https://doi.org/10.1007/s41969-017-0003-6

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