Skip to main content

Diabetic Ketoacidosis

  • Chapter
  • First Online:
Consults in Obstetric Anesthesiology

Abstract

Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of diabetes that is characterized by uncontrolled hyperglycemia, anion gap metabolic acidosis, and ketosis. Strategies for medical management that is safe for both mother and fetus will be presented. The anesthetic management of labor and delivery as well as operative deliveries will be discussed.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 219.99
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

References

  1. Montoro MN, Myers VP, Mestman J, Xu Y, Anderson BG, Golde SH. Outcome of pregnancy in diabetic ketoacidosis. Am J Perinatol. 1993;10(1):17–20.

    Article  CAS  Google Scholar 

  2. Ramin KD. Diabetic ketoacidosis in pregnancy. Obstet Gynecol Clin N Am. 1999;26(3):481–8.

    Article  CAS  Google Scholar 

  3. Kamalakannan D, Baskar V, Barton DM, Abdu TA. Diabetic ketoacidosis in pregnancy. Postgrad Med J. 2003;79(934):454–7.

    Article  CAS  Google Scholar 

  4. Sibai BM, Viteri OA. Diabetic ketoacidosis in pregnancy. Obstet Gynecol. 2014;123(1):167–78.

    Article  CAS  Google Scholar 

  5. Cullen MT, Reece EA, Homko CJ, Sivan E. The changing presentations of diabetic ketoacidosis during pregnancy. Am J Perinatol. 1996;13(7):449–51.

    Article  CAS  Google Scholar 

  6. Laffel L. Ketone bodies: a review of physiology, pathophysiology and application of monitoring to diabetes. Diabetes Metab Res Rev. 1999;15(6):412–26.

    Article  CAS  Google Scholar 

  7. Cascio M, Pygon B, Ramanathan S. Labor analgesia with intrathecal fentanyl decreases maternal stress. Can J Anesth. 1997;44(6):605–9.

    Article  CAS  Google Scholar 

  8. Crites J, Ramanathan J. Acute hypoglycemia following combine spinal-epidural (CSE) in a parturient with diabetes mellitus. J Am Soc Anesthesiol. 2000;93(2):591–2.

    Article  CAS  Google Scholar 

  9. Hogan K, Rusy D, Springman SR. Difficult laryngoscopy and diabetes mellitus. Anesth Analg. 1988;67(12):1162–5.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Stephen H. Halpern M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Traill, C., Halpern, S.H. (2018). Diabetic Ketoacidosis. In: Mankowitz, S. (eds) Consults in Obstetric Anesthesiology. Springer, Cham. https://doi.org/10.1007/978-3-319-59680-8_45

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-59680-8_45

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-59679-2

  • Online ISBN: 978-3-319-59680-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics