Key result
Regional anaesthesia in patients with diabetes offers benefits in restoring function but carries concerns for higher complication rates, necessitating informed shared decision-making.
Why the study?
While regional anaesthesia has documented benefits for functional recovery, concerns remain regarding a potentially higher complication rate in patients with diabetes.
What are the advantages and disadvantages of regional anaesthesia in surgical patients with diabetes?
What are the advantages and disadvantages of regional anaesthesia in surgical patients with diabetes?
This review explores the advantages and disadvantages of regional anaesthesia in diabetic patients to inform shared decision-making and anaesthetic technique modification.
Supports shared decision-making for regional anaesthesia in diabetes; leaves open need for higher-level trials on complication risks.
Diabetes is the most common metabolic condition worldwide and about 20% of surgical patients will have this condition. It is a major risk-factor for worse outcomes after surgery including mortality; infective and non-infective complications; and increased length of stay. However, diabetes is a modifiable risk-factor, and programs to improve medical management have the potential to reduce peri-operative complications and the risk of harm. Regional anaesthesia has well-documented benefits in promoting the restoration of function but there are legitimate concerns that the incidence of complications of regional anaesthesia in patients with diabetes is higher. The aim of this review is to explore in detail the various potential advantages and disadvantages of regional anaesthesia in patients with diabetes. This, in turn, will allow practitioners to undertake more informed shared decision-making and potentially modify their anaesthetic technique for patients with diabetes.
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Levy et al. (2021) conducted a review in Diabetes. Regional anaesthesia was evaluated. Regional anaesthesia in patients with diabetes offers benefits in restoring function but carries concerns for higher complication rates, necessitating informed shared decision-making.
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