International Journal of Tropical Medicine
ISSN: Online 1818-779XISSN: Print 1816-3319
Abstract
Metabolic disorders, including diabetes mellitus, thyroid dysfunction inborn errors of metabolism, present significant challenges in the anesthetic management of surgical patients. These conditions often require tailored perioperative strategies to mitigate risks and optimize outcomes. This study aims to develop evidence‐based guidelines for anesthetic management by evaluating clinical outcomes and identifying best practices in patients with metabolic disorders undergoing elective surgery. A prospective observational study was conducted over 12 months at the Department of Anesthesia, including 100 patients with documented metabolic disorders scheduled for elective surgery. Data collection encompassed demographics, medical history, preoperative assessment, intra operative parameters postoperative outcomes. Statistical analysis was performed using SPSS software, with a p‐value of <0.05 considered statistically significant. The study population had a mean age of 45.19 years, weight 75.82 kg, height 173.98 cmBMI 26.57. Comorbidities included hypertension (30%), COPD (20%)cardiovascular disease (24%). Intra operative complications included hypotension (30%), bardycardia (20%)arrhythmias (24%). The mean duration of metabolic disorders was 10.14 years for diabetes mellitus, 8.91 years for inborn errors of metabolism11.01 years for thyroid dysfunction. Key intra operative data included a mean surgery duration of 147.55 minutes and intra operative blood glucose of 123.69 mg/dL. Postoperative outcomes showed that 44% of patients were stable immediately post‐surgery, with 25% experiencing complications and 33% having follow‐up complications within 30 days. Comprehensive preoperative assessments, meticulous intra operative monitoring robust postoperative care are crucial for patients with metabolic disorders. The findings underscore the need for individualized anesthetic management strategies to enhance clinical outcomes and patient safety. Further research is needed to validate these findings and refine clinical guidelines.
How to cite this article:
Sumera Raheem and Abhinaya Thagirisa. Anesthetic Implications for Patients with Metabolic Disorders: Considerations and Best Practices.
DOI: https://doi.org/10.36478/10.36478/makijtm.2024.3.64.69
URL: https://www.makhillpublications.co/view-article/1816-3319/10.36478/makijtm.2024.3.64.69