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| 1 | Perioperative challenges in management of diabetic patients undergoing non-cardiac surgery显示文摘Prediabetes and diabetes are important disease processes which have several perioperative implications.About one third of the United States population is considered to have prediabetes.The prevalence in surgical patients is even higher.This is due to the associated micro and macrovascular complications of diabetes that result in the need for subsequent surgical procedures.A careful preoperative evaluation of diabetic patients and patients at risk for prediabetes is essential to reduce perioperative mortality and morbidity.This preoperative evaluation involves an optimization of preoperative comorbidities.It also includes optimization of antidiabetic medication regimens,as the avoidance of unintentional hypoglycemic and hyperglycemic episodes during the perioperative period is crucial.The focus of the perioperative management is to ensure euglycemia and thus improve postoperative outcomes.Therefore,prolonged preoperative fasting should be avoided and close monitoring of blood glucose should be initiated and continued throughout surgery.This can be accomplished with either analysis in blood gas samples,venous phlebotomy or point-of-care testing.Although capillary and arterial whole blood glucose do not meet standard guidelines for glucose testing,they can still be used to guide insulin dosing in the operating room.Intraoperative glycemic control goals may vary slightly in different protocols but overall the guidelines suggest a glucose range in the operating room should be between 140 mg/dL to 180 mg/dL.When hyperglycemia is detected in the operating room,blood glucose management may be initiated with subcutaneous rapid-acting insulin,with intravenous infusion or boluses of regular insulin.Fluid and electrolyte management are other perioperative challenges.Notably diabetic ketoacidosis and hyperglycemic hyperosmolar nonketotic state are the two most serious acute metabolic complications of diabetes that must be recognized early and treated. | Ursula Galway Praveen Chahar Marc T Schmidt Jorge A Araujo-Duran Jeevan Shivakumar Alparslan Turan Kurt Ruetzler | 2021 | World Journal of Diabetes2021，12，8： | 5 |
| 2 | Change in sexual dys-function with aripiprazole:a switching or add-on study显示文摘 | Mir A Shivakumar K Williamson RJ | 2008 | J Psy-chopharmacol2008，22，： | 1 |
| 3 | Blast resistance of polyurea based layered composite materials显示文摘 | Tekalur S A Shukla A Shivakumar K | 2008 | Composite Structures2008，84，3： | 1 |
| 4 | Evaluation of the neuroprotective effect of chrysin via modulation of endogenous biomarkers in a rat model of spinal cord injury显示文摘 | KANDHARE A D SHIVAKUMAR V RAJMANE A | 2014 | J Nat Med2014，68，3： | 1 |
| 5 | A simple and sensitive spectrophotometric method for the determination of trace amounts of nitrite in environmental and biological samples using 4-amino-5-hydroxynaphthalene-2,7-disulphonic acid monosodium salt显示文摘 | NAGARAJA P AL-TAYAR N G S SHIVAKUMAR A | 2010 | Spectrochimica acta part A2010，75，： | 1 |
| 6 | R&D cooperation and joint exploitation of R&D显示文摘 | BROD A SHIVAKUMAR R | 1997 | Canadian Journal of Economics1997，30，3： | 1 |
| 7 | The utility of second look microlaryngoscopy after trans oral laser resection of laryngeal cancer显示文摘 | SHENOY A M PRASHANTH V SHIVAKUMAR T | 2012 | Indian J Otolaryngol Head Neck Surg2012，64，： | 1 |
| 8 | A simple and sensitive spectrophotometric method for the determination of trace amounts of nitrite in environmental and biological samples using 4 - a~ mino - 5 - hydroxynaphthalene - 2,7 - disulphonic acid monosodium salt显示文摘 | Nagaraja P AI - Tayar N G S Shivakumar A | 2010 | Spectrochimica Acta Part A2010，75，5： | 1 |
| 9 | Target'searnings quality and bidders' takeover decisions显示文摘 | RAMAN K SHIVAKUMAR L TAMAYO A | 2013 | Reviewof Accounting Studies2013，，4： | 1 |
| 10 | Threedimensional elastic-plastic finite-element analyses of constraint variations in cracked bodies显示文摘 | Newman J C Bigelow C A Shivakumar K N | 1993 | Eng Fract Mech1993，46，1： | 1 |
| 11 | Quantification ofh y d r o g e n p e r o x i d e a n d g l u c o s e u s i n g 3-m e t h y l-2-benzothiazolinonehydrazone hydrochloride with 10,11-dihydro-5H-benz(b,f)azepine as chromogenic probe显示文摘 | NAGARAJA P SHIVAKUMAR A SHRESTHA A K | 2009 | Analytical Biochemistry2009，395，： | 1 |
| 12 | Advantageous semi-collusion 显示文摘 | Brod A Shivakumar R | 1999 | The Journal of Industrial Economics1999，，： | 1 |
| 13 | Optimization of chitinase produced by a biocontrol strain of Bacillus subtilis using Plackett-Burman design显示文摘 | A Narasimhan S Shivakumar | 2012 | European Journal of Experimental Biology2012，2，4： | 1 |
| 14 | Failure mechanics of a composite laminate embedded with a fiber optic sensor显示文摘 | Shivakumar K Bhargava A | 2005 | Journal of composite materials2005，39，9： | 1 |
| 15 | Blast Resistance of Polyurea Based Layered Composite Materials显示文摘 | Tekalur S A Shukla A Shivakumar K | 2008 | Compos Struct2008，84，3： | 1 |
| 16 | A simpleand sensitive spectrophotometric method for the determination oftracemamounts of nitrite in environmental and biological samples using4-amino-5-hydroxynaphthalene-2,7-disulphonic acid monosodiumsalt显示文摘 | NAGARAJA P AL-TAYAR NGS SHIVAKUMAR A | 2010 | Spectrochimica Acta Part A2010，75，5： | 1 |
| 17 | A simple and sensitive spectrophotometric method for the determination of trace amounts of nitrite in environmen- tal and biological samples using 4-amino-5-hydroxynaphtha- lene-2,7-disulphonic acid monosodium salt 显示文摘 | NAGARAIA P AL-TAYAR N G S SHIVAKUMAR A | 2010 | Spectro- chimica Acta Part A : Molecular and Biomolecular Spectros- copy2010，75，5： | 1 |
| 18 | Bronchial foreign bodies显示文摘 | SHIVAKUMAR A M NAIK A S SHETTY K D | 2004 | Indian J Pediatr2004，71，： | 1 |
| 19 | Usability inspection of digital libraries:a case study显示文摘 | Hartson H R Shivakumar P Perez-Quinones M A | 2004 | Int J Digit Libr2004，，4： | 1 |
| 20 | Processing factors in development of solid solution formulation of itraconazole for enhancement of drug dissolution and bioavailability显示文摘 | Shivakumar G K James W A | 2001 | International Journal of Pharmaceutics2001，229，： | 1 |
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