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Moningi S, Nikhar S, Ramachandran G. Autonomic disturbances in diabetes: Assessment and anaesthetic implications. Indian J Anaesth. 2018;62(8):575-583doi: 10.4103/ija.IJA_224_18.
Moningi, S., Nikhar, S., & Ramachandran, G. (2018). Autonomic disturbances in diabetes: Assessment and anaesthetic implications. Indian journal of anaesthesia, 62(8), 575-583. https://doi.org/10.4103/ija.IJA_224_18
Moningi, Srilata, et al. "Autonomic disturbances in diabetes: Assessment and anaesthetic implications." Indian journal of anaesthesia vol. 62,8 (2018): 575-583. doi: https://doi.org/10.4103/ija.IJA_224_18
Moningi S, Nikhar S, Ramachandran G. Autonomic disturbances in diabetes: Assessment and anaesthetic implications. Indian J Anaesth. 2018 Aug;62(8):575-583. doi: 10.4103/ija.IJA_224_18. PMID: 30166651; PMCID: PMC6100274.
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Indian J Anaesth. 2018 Aug;62(8):575-583. doi: 10.4103/ija.IJA_224_18.

Autonomic disturbances in diabetes: Assessment and anaesthetic implications.

Indian journal of anaesthesia

Srilata Moningi, Sapna Nikhar, Gopinath Ramachandran

Affiliations

  1. Department of Anaesthesia and Intensive Care, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India.

PMID: 30166651 PMCID: PMC6100274 DOI: 10.4103/ija.IJA_224_18

Abstract

Diabetes mellitus is the most common medical condition and with increased awareness of heath and related issues, several patients are getting diagnosed with diabetes. The poor control of sugar and long-standing status of disease affects the autonomic system of body. The autonomic nervous system innervates cardiovascular, gastrointestinal, and genitourinary system, thus affecting important functions of the body. The cardiovascular system involvement can manifest as mild arrhythmias to sudden death. Our search for this review included PubMed, Google Search and End Note X6 version and the key words used for the search were autonomic neuropathy, diabetes, anesthesia, tests and implications. This review aims to highlight the dysfunction of autonomic system due to diabetes and its clinical presentations. The various modalities to diagnose the involvement of different systems are mentioned. An estimated 25% of diabetic patients will require surgery. It has been already established that mortality rates in diabetic patients are higher than in nondiabetic patients. Hence, complete workup is needed prior to any surgery. Diabetic autonomic neuropathy and its implications may sometimes be disastrous and further increase the incidence of in hospital morbidity and mortality. Overall, complete knowledge of diabetes and its varied effects with anaesthetic implications and careful perioperative management is the key guiding factor for a successful outcome.

Keywords: Anaesthesia; assessment; autonomic neuropathy; diabetes; implications

Conflict of interest statement

There are no conflicts of interest.

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