Abstract

CORDERO ESCOBAR, Idoris. Consideraciones anestesicas en el paciente diabético con neuropatía autonómica. Rev cuba anestesiol reanim [online]. 2010, vol.9, n.1, pp. 24-31. ISSN 1726-6718.

Introduction: Autonomic neuropathy or diabetic non-autonomy is a complication of diabetes mellitus characterized by a decrease of peripheral autonomic nervous system function by means of the effector organ in diabetic patients. Objective: To made an update on diabetic non-autonomy and its anesthetic implications. Development: Signs and symptoms of autonomic neuropathy are considered as diabetes mellitus complications. In this type of patient preoperative considerations are analyzed and their consequences according to the physiologic response, implications of the different anesthetic techniques and the potential complications as well as the treatment to be applied. Conclusions: Diabetes mellitus is a complex metabolic disorder and the autonomic neuropathy is a complication requiring specific considerations during the surgical anesthetic treatment. To diagnose and to treat the complications is a duty of trendy anesthesiologist. To prevent and to improve its prognosis is a duty.

Keywords : Diabetes mellitus complications; autonomic neuropathy; anesthesia; complications.

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