Euglycemic Diabetic Ketoacidosis in the Surgical Patient

Postoperative euglycemic diabetic ketoacidosis (EDKA), a rare cause of acidosis, results from the metabolic derangement of diabetes and is not associated with a surgical complication requiring reoperation. Our acute care surgery service has managed several recent patients who developed postoperative...

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Bibliographic Details
Published inThe American surgeon p. 3134820956352
Main Authors McCabe, David E, Strollo, Brian P, Fuhrman, George M
Format Journal Article
LanguageEnglish
Published United States 01.04.2023
Subjects
postoperative complications
sodium glucose cotransporter-2 inhibitors
euglycemic diabetic ketoacidosis
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Summary:Postoperative euglycemic diabetic ketoacidosis (EDKA), a rare cause of acidosis, results from the metabolic derangement of diabetes and is not associated with a surgical complication requiring reoperation. Our acute care surgery service has managed several recent patients who developed postoperative EDKA. Our group was befuddled by the initial case but subsequently quickly recognized and managed the condition. The purpose of this report is to discuss the pathophysiology of EDKA, summarize 3 recent cases, and increase awareness about the condition to permit prompt recognition and treatment.
ISSN:1555-9823
DOI:10.1177/0003134820956352