How should a patient on SGLT2 inhibitors be managed in the perioperative setting? Dr. Om J Lakhani

In this video, Dr. Om J Lakhani discusses the management of patients on SGLT2 inhibitors in a perioperative setting. He provides an overview of diabetic ketoacidosis and how SGLT2 inhibitors can contribute to its occurrence. He also provides real-life examples and discusses the necessary precautions and checks before the surgery, as well as postoperative care. He further delves into considerations for alternative treatments like somatostatin for severe cases. Lastly, Dr. Lakhani shares references and resources for further understanding of the subject.
Notes on the Topic : www.craft.me/s/sifj5vwpV3vNLp
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- [00:00]( • Video ) 🧪 Introduction to perioperative use of SGLT2 Inhibitors
- Highlights the guideline to stop SGLT2 inhibitors three or four days before surgery.
- [04:21]( • Video ) 📚 SGLT2 Inhibitors & euglycemic ketoacidosis case studies
- Discusses past cases of hard-to-identify euglycemic ketoacidosis due to SGLT2 Inhibitors, with normal blood sugars.
- [08:28]( • Video ) 📘 Risk of keto acidosis with SGLT2 inhibitors
- Explains how SGLT2 inhibitors can increase the risk of diabetic ketoacidosis.
- [12:35]( • Video ) 🩺 Perioperative management protocol for SGLT2 Inhibitor
- Covers different scenarios of patients on SGLT2 inhibitors for emergency and elective surgery, suggesting critical tests and treatment.
- [17:25]( • Video ) 💉 Risk levels of surgeries for patients on SGLT2 inhibitors
- Distinguishes between high-risk and low-risk surgeries involving patients on SGLT2 inhibitors.
- [19:05]( • Video ) 🧠 Alternative treatments for euglycemic ketoacidosis
- Discusses a case of using somatostatin for severe euglycemic ketoacidosis but advises caution due to mixed efficacy data.
- [20:13]( • Video ) 📚 References and resources on diabetic ketoacidosis and SGLT2 inhibitors
- Shares resources for further understanding of the topics discussed, including an app and a book offering deeper insights.
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[@manojsaxena7898]

Please keep on making these presentations Very useful for doctors

[@manojsaxena7898]

Excellent teacher

[@EndocrinologyIndia]

Thank you sir

[@gururajsattur7065]

Dr. Lakhani
U r spot on in every talk. Keep it up🎉

[@EndocrinologyIndia]

Thank you sir

[@gururajsattur7065]

Dr Lakhani
U r always spot on..🎉
Keep ur enthusiasm rocking 😊

[@EndocrinologyIndia]

Thank you so much 😀