Dr. John Chovan
Diabetic, gastroparesis, preoperative, aspiration, gastric emptying, autonomic neuropathy
Medicine and Health Sciences | Nursing
Diabetic gastroparesis is one of several long-term complications of diabetes mellitus. It is characterized by delayed gastric emptying secondary to autonomic neuropathy. As the incidence of diabetes mellitus continues to rise, it becomes even more important for anesthetists to address the risk of aspiration posed by diabetic gastroparesis. Currently, aspiration of gastric contents accounts for nearly half of all major airway complications in the operating room, often due to incomplete assessment of risk factors. Understanding the pathophysiology is the first step in recognizing diabetic gastroparesis as a significant risk factor for aspiration. Every effort should be made to mitigate perioperative aspiration, starting with the ability to identify risk factors where they exist.
Stevens, Chelsea, "Diabetic Gastroparesis: A Risk Factor for Perioperative Aspiration" (2017). Master of Science in Nursing (MSN) Student Scholarship. 262.