Skip to main content
SpringerLink
Log in

Anesthesia Management

  • Chapter
Pancreas Transplantation

  • 51 Accesses

Abstract

Communication between the endocrinologist, transplant surgeon, and anesthesiologist is necessary to achieve optimal management of the type I diabetic patient undergoing pancreatic transplantation. Because the anesthesiologist is involved in the entire perioperative period, it is important for him or her to understand both the physiology of the pancreas and the pathophysiology of diabetes mellitus. In addition, the anesthesiologist should be able to recognize when the patient becomes metabolically unstable during the course of surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 259.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 329.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Moore F: Diabetes mellitus. In Metabolic Care of the Surgical Patient. Moore F, (ed). Philadelphia: Saunders, 1959, pp 638–645.

    Google Scholar 

  2. Murphy R, Smalley PE: Medical management of the surgical diabetic patient. Lahey Clin Bull 13:5, 1963.

    Google Scholar 

  3. Giesecke AH, Spier CJ, Jenkins MT: Management of diabetes mellitus during anesthesia and surgery. Texas J Med 60:840, 1964.

    CAS  Google Scholar 

  4. Root HF: Preoperative medical care of the diabetic patient. Postgrad Med 40:439, 1966.

    PubMed  CAS  Google Scholar 

  5. Stone DB: Surgery in the diabetic patient. In Diabetes Mellitus: Diagnosis and Treatment, Committee on Professional Education of the American Diabetes Association, Inc. (eds). New York: American Diabetes Association, 1967, pp 167–170.

    Google Scholar 

  6. Steinke J: Management of diabetes mellitus and surgery. N Engl J Med 282:1472, 1970.

    Article  PubMed  CAS  Google Scholar 

  7. Whelock FC, Marble A: Surgery and diabetes. In Joslin’s Diabetes Mellitus. (Marble A, White P, Bradley RF, Kroll LP (eds). Philadelphia: Lea and Febiger, 1971, pp 559–604.

    Google Scholar 

  8. Pender JW, Fox M, Basso LV: Diseases of the endocrine system. In Anesthesia and Uncommon Diseases. Katz J, Kadis LB, (eds). Philadelphia: Saunders, 1973, pp 137–139.

    Google Scholar 

  9. Beaser SB: Surgical management. In Diabetes Mellitus: Therapy and Practice. Ellenberg M, Rifkin H (eds). New York, McGraw Hill, 1970, pp 746–759.

    Google Scholar 

  10. Shuman CR: Surgery in the diabetic patient. In Diabetes Mellitus: Diagnosis and Treatment, Vol 3, Fajans SS, Sussman KE (eds). New York: American Diabetes Association, 1971, pp 217–220.

    Google Scholar 

  11. Rossini AA, Hare JW: How to control the blood glucose level in the surgical diabetic patient. Arch Surg 3:945, 1976.

    Google Scholar 

  12. Taitelman U, Reece EA, Bessman AN: Insulin in the management of the diabetic surgical patient: Continuous intravenous infusion versus subcutaneous administration. JAMA 237:658, 1977.

    Article  PubMed  CAS  Google Scholar 

  13. Bacchus H: Rational Management of Diabetes. Baltimore: University Press, 1977, pp 124–125.

    Google Scholar 

  14. Petrides P, Napp-Mellinghoff S: Diabetes und Stress-situationen (Operationen, Infektionen, sonstige Stress-situationen). In Diabetes Mellitus B. Handbuch der Inneren Medizen, Vol 7 Stoffwechselkrankheiten, Part 2B; Oberdisse K, (ed). Berlin: Springer Verlag, 1978, p 1093.

    Google Scholar 

  15. Oakley WG, Pyke DA, Taylor KW: Diabetes and its Management. Oxford, UK: Blackwel, 1978, p 131.

    Google Scholar 

  16. Shuman CR, Podolsky S: Surgery in the diabetic patient. In Clinical Diabetes: Modern Management, Podolsky S, (ed). New York: Appleton-Century-Crofts, 1980, pp 509–535.

    Google Scholar 

  17. Goldberg NJ, Wingert TD, Levin SR, et al: Insulin therapy in the diabetic surgical patient: Metabolic and hormonal response to low dose insulin infusion. Diabetes Care 4:279, 1981.

    Article  PubMed  CAS  Google Scholar 

  18. Sussman KE, Kolterman OG: Surgery in the patient with diabetes. In Diabetes Mellitus, Vol 5, Rifkin H, Baskin P (eds). New York: American Diabetes Association, 1981, pp 251–231.

    Google Scholar 

  19. Podolsky S: Management of diabetes in the surgical patient. Med Clin North Am 66:1361, 1982.

    PubMed  CAS  Google Scholar 

  20. Gusberg RJ, Moley J: Diabetes and abdominal surgery: The mutual risks. Yale J Biol Med 56:285, 1983.

    PubMed  CAS  Google Scholar 

  21. Alberti KGMM, Thomas DJB: The management of diabetes during surgery. Br J Anaesth 51:693, 1979.

    Article  PubMed  CAS  Google Scholar 

  22. Porte D, Graber AL, Kuzuya T, et al: The effect of epinephrine on immunoreactive insulin levels in man. J Clin Invest 45:228, 1966.

    Article  PubMed  CAS  Google Scholar 

  23. Halter JB, Pflug AE: Relationship of impaired insulin secretion during surgical stress to anesthesia and catecholamine release. J. Clin Endocrinol Metab 51:1093, 1980.

    Article  PubMed  CAS  Google Scholar 

  24. Giddings AEB: The control of plasma glucose in the surgical patient. Br J Surg 61:787, 1974.

    Article  PubMed  CAS  Google Scholar 

  25. Gump FE, Long CL, Killian P, et al: Studies of glucose intolerance in septic injured patients. J Trauma 14: 378, 1974.

    Article  PubMed  CAS  Google Scholar 

  26. Long CL, Spencer JL, Kinney JM, et al: Carbohydrate metabolism in man: Effect of elective operations and major injury. J Appl Physiol 31:110, 1971.

    PubMed  CAS  Google Scholar 

  27. Christensen NJ, Alberti KGMM, Brandsborg O: Plasma catecholamines and blood substrate concentrations in studies in insulin-induced hypoglycemia and after adrenalin infusions. Eur J Clin Invest 5:415, 1975.

    PubMed  CAS  Google Scholar 

  28. Foster KJ, Alberti KGMM, Binder C, et al: Lipid metabolites and nitrogen balance after abdominal surgery in man. Br J Surg 66:242, 1979.

    Article  PubMed  CAS  Google Scholar 

  29. Ryan TR: Metabolic adaptations for energy production during trauma and sepsis. Surg Clin North Am 56:1073, 1978.

    Google Scholar 

  30. O’Keefe SJD, Sender PM, James WPT: “Catabolic” loss of body nitrogen in response to surgery. Lancet 2:1035, 1974.

    Article  PubMed  Google Scholar 

  31. Alberti KGMM, Gill GV, Elliot MG: Insulin delivery during surgery in the diabetic patient. Diabetes Care 5:65, 1982.

    PubMed  Google Scholar 

  32. Halter JB, Pflug AE, Porte D Jr: Mechanism of plasma catecholamine increases during surgical stress in man. J Clin Endocrinol Metab 45:936, 1977.

    Article  PubMed  CAS  Google Scholar 

  33. Ewart RBL, Rusy BF, Bradford MW: Effects of enflurane on release of insulin by pancreatic islets in vitro. Anesth Analg 60:878, 1981.

    CAS  Google Scholar 

  34. Oyama T, Matsuki A, Kudo M: Effects of enflurane (Ethrane) anaesthesia and surgery on carbohydrate and fat metabolism in man. Anaesthesia 27:179, 1972.

    Article  PubMed  CAS  Google Scholar 

  35. Camu F: Impaired early insulin response to glycemic stimulus during enflurane anesthesia in dogs. Acta Anaesthesiol Belg 27:267, 1976.

    PubMed  Google Scholar 

  36. Dobkin AB, Byles PH, Africa BF, et al: Enflurane (Ethrane) and isoflurane (Forane): A comparison with nine general anaesthetics administered with passive hyperventilation. Can Anaesth Soc J 23:505, 1976.

    Article  PubMed  CAS  Google Scholar 

  37. Rupieper N, Hillscher C: Der Einfluss von Ethrane auf den Kohlenhydratstoff-Wechsel. In Inhalationsanasthesia mit Ethrane, Bruckner JB, (ed). Berlin: Springer, 1976, pp 117–122.

    Google Scholar 

  38. Oyama T, Latto P, Holaday DA: Effect of isoflurane anaesthesia and surgery on carbohydrate metabolism and plasma Cortisol levels in man. Can Anaesth Soc J 22:696, 1975.

    Article  PubMed  CAS  Google Scholar 

  39. Oyama T, Latto P, Holaday DA, et al: Effect of isoflurane anesthesia and surgery on thyroid function in man. Can Anaesth Soc J 22:474, 1975.

    Article  PubMed  CAS  Google Scholar 

  40. Brandt L, Frieling B, Pokar H: Effects of isoflurane and nitrous oxide on plasma Cortisol and growth hormone levels in man. Anesthesiology 61:A257, 1984.

    Article  Google Scholar 

  41. Stevens WC, Eger EI II, Joas TA, et al: Comparative toxicity of isoflurane, halothane, fluroxene and diethyl ether in human volunteers. Can Anaesth Soc J 20:357, 2973.

    Article  Google Scholar 

  42. Maree SM: Intraoperative management of the patient with diabetes mellitus. AANA Journal 50:382, 1982.

    PubMed  CAS  Google Scholar 

  43. Byles PH, Dobkin AB, Ferguson JH, et al: Forane (Compound 469): Cross-over comparison with enflurane (Ethrane), halothane, and methoxyflurane in dogs. Can Anaesth Soc J 18:376, 1971.

    Article  PubMed  CAS  Google Scholar 

  44. Engquist A, Brandt MR, Alvito F, et al: The blocking effect of epidural analgesia on the adrenocortical and hyperglycemic responses to surgery. Acta Anesthesiol Scand 21:330, 1977.

    Article  CAS  Google Scholar 

  45. Allison SP, Tomlin PJ, Chamberlain MJ: Some effects of anaesthesia and surgery on carbohydrate and fat metabolism. Br J Anaesth 41:588, 1969.

    Article  PubMed  CAS  Google Scholar 

  46. Clarke RSJ: The hyperglycaemic response to different types of surgery and anaesthesia. Br J Anaesth 42:45, 1970.

    Article  PubMed  CAS  Google Scholar 

  47. Estrin JA, Buckley JJ: Complications of Anesthesia. In Complications of Organ Transplantation, Toledo-Pereyra LH (ed). New York: Marcel Dekker, 1987, pp 1–36.

    Google Scholar 

  48. Galloway JA, Shuman CR: Diabetes and surgery: A study of 667 cases. Am J Med 34:177, 1963.

    Article  PubMed  CAS  Google Scholar 

  49. Walts LF: Managing diabetics during surgery. AORNJ 37: 928, 1983.

    Article  CAS  Google Scholar 

Download references

Authors
  1. Willard S. Holt
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Luis H. Toledo-Pereyra
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Surgery, Mount Carmel Mercy Hospital, Detroit, Michigan, USA

    Luis H. Toledo-Pereyra M.D., Ph.D., Ph.D. (Chief, Transplantation, Director, Research) (Chief, Transplantation, Director, Research)

Rights and permissions

Reprints and permissions

Copyright information

© 1988 Kluwer Academic Publishers

About this chapter

Cite this chapter

Holt, W.S., Toledo-Pereyra, L.H. (1988). Anesthesia Management. In: Toledo-Pereyra, L.H. (eds) Pancreas Transplantation. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1735-7_4

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-1735-7_4

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-8976-0

  • Online ISBN: 978-1-4613-1735-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation