ORCID
0009-0003-8803-9574
Date of Award
Spring 4-15-2025
Document Type
Thesis
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
Advisor
Dr. Kirk Hummer
First Committee Member
Dr. Kirk Hummer
Second Committee Member
Dr. Brian Garrett
Third Committee Member
Dr. Amy Bishop
Keywords
type 1 diabetes, type 2 diabetes, EBP guidelines, insulin pump, perioperative, hyperglycemia, hypoglycemia
Subject Categories
Medicine and Health Sciences | Perioperative, Operating Room and Surgical Nursing | Quality Improvement
Abstract
According to the International Diabetes Federation, Diabetes Mellitus (DM) affects approximately 537 million people, representing approximately 10% of the worldwide population aged 20 to 79. Approximately 400,000 people with DM use continuous subcutaneous insulin infusion (CSII) pumps. CSII pump therapy mimics pancreatic insulin release, aiding in maintaining adequate insulin levels. Individuals with DM are more likely to require surgery than individuals without the disease. Among diabetics, people with Type 1 DM (T1D) are more likely to need medical interventions than individuals with Type 2 DM (T2DM). CSII therapy maintains blood glucose levels within a programmed range and decreases blood glucose level variability. When surgery is needed for patients with DM, a decision must be made to continue or discontinue CSII pump function during surgery. Many facilities lack guidelines related to perioperative CSII pump usage and glycemic control during the perioperative period. Nationally, there is an absence of guidelines from professional organizations guiding the anesthesia provider on perioperative CSII pump operation. The project team reviewed available literature to create a set of evidence-based practice (EBP) guidelines for perioperative CSII pump usage and glycemic control during the perioperative period. These EBP guidelines give the anesthesia provider information to guide the management of CSII pump therapy during the perioperative period. Guidance is provided to assist the anesthesia provider with pump management, restrictions, contraindications, imaging, CSII pump alarms and malfunctions, and CSII pump therapy discontinuation. This final scholarly project will not be implemented.
Keywords: type 1 diabetes, type 2 diabetes, EBP guidelines, insulin pump, perioperative, hyperglycemia, hypoglycemia
Acknowledgement 1
1
Acknowledgement 2
1
Licensing Permission
Copyright, all rights reserved. Fair Use
Recommended Citation
Robinson, Duane, "Evidence-Based Practice Guidelines for Perioperative Insulin Pump Usage and Glycemic Control During the Perioperative Period" (2025). Doctor of Nursing Practice Scholarly Projects. 169.
https://digitalcommons.otterbein.edu/stu_doc/169
Poster