Guidelines for application of continuous subcutaneous insulin infusion (insulin pump) therapy in the perioperative period

Mary E. Boyle, Karen M. Seifert, Karen A. Beer, Heidi A. Apsey, Adrienne A. Nassar, Stephanie D. Littman, Janice M. Magallanez, Richard T. Schlinkert, Joshua D. Stearns, Michael J. Hovan, Curtiss B. Cook

Research output: Contribution to journalArticlepeer-review

33 Scopus citations

Abstract

Case reports indicate that diabetes patients receiving outpatient insulin pump therapy have been allowed to continue treatment during surgical procedures. Although allowed during surgery, there is actually little information in the medical literature on how to manage patients receiving insulin pump therapy during a planned surgical procedure. A multidisciplinary work group reviewed current information regarding the use of insulin pumps in the perioperative period. Although the work group identified safety issues specific to surgical scenarios, it believed that with the use of standardized guidelines and a checklist, continuation of insulin pump therapy during the perioperative period is feasible. A sample set of protocols have been developed and are summarized. A policy outlining clear procedures should be established at the institutional level to guide physicians and other staf if the devices are to be employed during the perioperative period. Additional clinical experience with the technology in surgical scenarios is needed, and consensus should be developed for insulin pump use in the perioperative phases of care.

Original languageEnglish (US)
Pages (from-to)184-190
Number of pages7
JournalJournal of Diabetes Science and Technology
Volume6
Issue number1
DOIs
StatePublished - Jan 2012

Keywords

  • Diabetes mellitus
  • Insulin pump
  • Perioperative care

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Bioengineering
  • Biomedical Engineering

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