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37: Should intraoperative dexamethasone be avoided in patients with diabetes mellitus?

Depth of Anesthesia

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Dexamethasone Effects on Surgical Patients

This chapter explores a systematic review of dexamethasone's impact on postoperative outcomes, particularly its effects on blood glucose levels in diabetic and non-diabetic patients. It summarizes findings from multiple studies, highlighting the significant increases in glucose levels, especially in those with diabetes, while also addressing concerns regarding infection rates and wound healing. The discussion emphasizes the need for careful glucose management during the perioperative period, alongside the complexities of glucocorticoid dosing.

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