Iraqi Postgraduate Medical Journal

Abstract

ABSTRACT:
BACKGROUND:
Blood glucose increment during surgery is part of stress response, this increment is due to insulin dysfunction and glucose production and hyperglycemia increases complications.
OBJECTIVE:
Assess glucose level change intraoperatively and effect on recovery in non-diabetic recipients in renal transplant surgery.
PATIENTS AND METHODS:
52 patients from 1-1-2016 to 1-3-2017 In renal transplant center. all with standardized anesthetic technique, monitoring of blood glucose pre-induction and every half hour, soluble insulin start to be given for patient when blood glucose reach 200mg/dl as 1 unit for each 10 mg above 200 and recovery assessed using aldrete score.
RESULT:
There is variable increase in blood glucose among patients, 39/52 above 110 mg/dl at pre induction,1 patient was 276mg. 18/52 had 200-250 mg at least once among them,11patients reached 250-300mg,6 patients300-400 and 3reahed above400. 5 patients had delayed recovery with no significance relation to pre-induction level but significant to other readings, risk assessment showed more odd’s ratio for delayed recovery in high glucose reading and assessment of increment from pre-induction is a valid test for delayed recovery.
CONCLUSION:
Blood glucose measurement is mandatory in non-diabetic in renal transplant recipients.
.