2020老年病人的麻醉管理.pptVIP

Diabetes Mellitus – Tight Control of Glucose Gu. Anesthesiology 2003; 98:1359 ? Insulin infusions to maintain glucose: – 80-150 mg/dl intraoperatively – 80-110 mg/dl postoperatively ? Reduce ICU mortality by 40% ? Improve outcome from acute MI ? Decrease infections Beta-adrenergic Blocking Agents – Perioperative Administration ? Reduces myocardial ischemia ? Reduces myocardial infarction ? Secondary Observations – Zaugg. Anesthesiology 1999; 91:1674 – Decrease anesthetic administration – Enable faster emergence – Decrease post-op analgesic requirement Perioperati