Anestesia e Pesquisa Clínica
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Anaesthetic Management during Surgery in a Patient of Gastrointestinal Perforation with Diabetic Ketoacidosis

Sudhir Kumar Bisherwal, Hiranmay Barman, Arundhati Dalai and Ravi Shankar Prasad

Patients with diabetes are often encountered for anaesthesia and surgery. Diabetic ketoacidosis is a common condition which is caused by production of ketones because of deficient insulin. Its prevalence can be as high as 30% in diabetic patients. Elective surgery is to be postponed in patients of DKA. Mortality is increased in patients of ketoacidosis undergoing surgery and hyperglycemia associated with diabetes is associated with increased hospital stay and increased incidence of wound infection. In this case, we present anaesthetic methods used for a patient in DKA undergoing exploratory laparotomy for peritonitis secondary to bowel perforation.