Anesthesia Management in Diabetic Patients witht Cardiovascular Autonomic Neuropathy

Anesthesia Management in Diabetic Patients witht Cardiovascular Autonomic Neuropathy: 2015-11-29T18-03-41Z

Source: Archives Medical Review Journal

Feride Karacaer.


Cardiovascular autonomic neuropathy is frequently observed in patients with diabetes mellitus and encompasses damage to the autonomic nerve fibers, resulting in abnormalities in heart rate control and vascular dynamics. There is an increased mortality and morbidity rate among these patients. A series of cardiovascular reflex tests known as Ewings battery tests are used for diagnosis cardiac autonomic neuropathy and provide valuable information to the clinical assessment of these patients. As anesthesia has a major influence on perioperative autonomic function, the interplay between cardiovascular autonomic neuropathy and anesthesia may result in unexpected haemodynamic instability during surgery and postoperative recovery. A comprehensive preoperative assessment and perioperative cautious monitoring are necessary for successful anesthesia management.

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