Perioperative urinary ketosis and metabolic acidosis in patients fasted for undergoing gynecologic surgery.
Leerang LimSang Joon ParkChristine KangSeung-Young OhHo Geol RyuHannah LeePublished in: Acta anaesthesiologica Scandinavica (2024)
Perioperative urinary ketosis and intraoperative metabolic acidosis are common in patients undergoing gynecologic surgery, even with short-term preoperative fasting. The risks are notably higher in younger patients with lower body mass index. Optimization of preoperative fasting strategies including implementation of oral carbohydrate loading should be considered for reducing perioperative metabolic derangement due to ketosis.
Keyphrases
- patients undergoing
- minimally invasive
- body mass index
- coronary artery bypass
- end stage renal disease
- blood glucose
- newly diagnosed
- cardiac surgery
- insulin resistance
- ejection fraction
- primary care
- healthcare
- endometrial cancer
- prognostic factors
- peritoneal dialysis
- type diabetes
- acute kidney injury
- risk assessment
- weight gain
- human health
- coronary artery disease
- acute coronary syndrome
- skeletal muscle
- percutaneous coronary intervention