The optimum management approach of glucose concentrations during perioperative period is not very clear. A recent study evaluated the effect of low intraoperative rate on ketogenesis and postoperative insulin resistance. Intraoperative low-dose glucose infusions generally suppress ketogenesis process and decrease postoperative insulin resistance. However, the most appropriate rate of intraoperative glucose infusion is not clear.
In a recent study, it was shown that a postoperative infusion of 0.08 g/kg/h effectively suppressed ketogenesis at the next morning post surgery. Study details and results: The study was performed on patients undergoing maxillofacial surgery. The patients were given glucose-free Ringer’s solution and a continuous glucose infusion (0.08 g/kg/h) during the surgery. Blood samples were collected to assess the concentrations of noradrenaline, cortisol, glucose,…
