Impact of Anesthesia Type on Blood Glucose in Intraoperative Diabetic Patients: A Systematic Review and Meta-Analysis Randomized Control Trial

Main Authors: Mixrova Sebayang, Septian, Burhan, Asmat, Susanti, Indah
Format: Article info application/pdf
Bahasa: eng
Terbitan: Global Indonesia Health Care (GOICARE) , 2023
Online Access: https://goicare.web.id/index.php/JNJ/article/view/3
https://goicare.web.id/index.php/JNJ/article/view/3/2
ctrlnum article-3
fullrecord <?xml version="1.0"?> <dc schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"><title lang="en-US">Impact of Anesthesia Type on Blood Glucose in Intraoperative Diabetic Patients: A Systematic Review and Meta-Analysis Randomized Control Trial</title><creator>Mixrova Sebayang, Septian</creator><creator>Burhan, Asmat</creator><creator>Susanti, Indah</creator><description lang="en-US">Background: systematic literature review investigating the impact of different anesthetics on intraoperative blood glucose levels of diabetic patients. Method: Databases including ProQuest, PubMed, ScienceDirect, and Wiley were searched for RCTs (randomized controlled trials) that examined the effects of various anesthetics on intraoperative blood glucose levels in diabetic patients. In one study, two researchers independently used eligibility criteria to examine the literature, extracted the data, and used RevMan 5.3 software to perform the meta-analysis. Results: We used trials for meta-analysis with seven randomized controlled trial overall with a total sample of 519 intraoperative diabetic patients. Compared with general anesthesia, it was found that the general anesthesia-epidural combination had superior glycemic control in intraoperative blood glucose levels, based on the meta-analysis results (SMD -1.78, 95% confidence interval [CI] -4.57 to -3.41), however epidural anesthesia did not show comparable superiority. &amp;nbsp;Conclusions: Combined general-epidural anesthesia offers better glycemic control for postoperative blood sugar levels compared to general anesthesia, based on existing data.</description><publisher lang="en-US">Global Indonesia Health Care (GOICARE)</publisher><date>2023-09-11</date><type>Journal:Article</type><type>Other:info:eu-repo/semantics/publishedVersion</type><type>Journal:Article</type><type>File:application/pdf</type><identifier>https://goicare.web.id/index.php/JNJ/article/view/3</identifier><identifier>10.61716/jnj.v1i1.3</identifier><source lang="en-US">Java Nursing Journal; Vol. 1 No. 1 (2023): June; 7-15</source><source>2988-4152</source><source>10.61716/jnj.v1i1</source><language>eng</language><relation>https://goicare.web.id/index.php/JNJ/article/view/3/2</relation><rights lang="en-US">Copyright (c) 2023 Java Nursing Journal</rights><recordID>article-3</recordID></dc>
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author Mixrova Sebayang, Septian
Burhan, Asmat
Susanti, Indah
title Impact of Anesthesia Type on Blood Glucose in Intraoperative Diabetic Patients: A Systematic Review and Meta-Analysis Randomized Control Trial
publisher Global Indonesia Health Care (GOICARE)
publishDate 2023
url https://goicare.web.id/index.php/JNJ/article/view/3
https://goicare.web.id/index.php/JNJ/article/view/3/2
contents Background: systematic literature review investigating the impact of different anesthetics on intraoperative blood glucose levels of diabetic patients. Method: Databases including ProQuest, PubMed, ScienceDirect, and Wiley were searched for RCTs (randomized controlled trials) that examined the effects of various anesthetics on intraoperative blood glucose levels in diabetic patients. In one study, two researchers independently used eligibility criteria to examine the literature, extracted the data, and used RevMan 5.3 software to perform the meta-analysis. Results: We used trials for meta-analysis with seven randomized controlled trial overall with a total sample of 519 intraoperative diabetic patients. Compared with general anesthesia, it was found that the general anesthesia-epidural combination had superior glycemic control in intraoperative blood glucose levels, based on the meta-analysis results (SMD -1.78, 95% confidence interval [CI] -4.57 to -3.41), however epidural anesthesia did not show comparable superiority. &nbsp;Conclusions: Combined general-epidural anesthesia offers better glycemic control for postoperative blood sugar levels compared to general anesthesia, based on existing data.
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