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<p>Diabetic autonomic neuropathy (DAN), along with the diabetic sensorimotor polyneuropathy, is one of the comorbidities that increases perioperative risk in patients with diabetes mellitus. Because DAN is multifaceted and difficult to diagnose in daily practice, it is frequently overlooked. Therefore, preoperative screening is paramount. It is essential to diagnose or rule out diabetic sensorimotor polyneuropathy before elective surgery. Wound healing disorders, new pressure ulcers, difficult perioperative pain management, or anesthesia incidents are common. Thus, practical advice regarding the perioperative management of diabetic neuropathies is summarized in this article.</p>

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Perioperatives Management von Menschen mit Diabetes mellitus: Neurologie

  • 期刊论文

  • 发表日期：

    2026年4月24日

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  • Ovidiu Alin Stirban

摘要

Diabetic autonomic neuropathy (DAN), along with the diabetic sensorimotor polyneuropathy, is one of the comorbidities that increases perioperative risk in patients with diabetes mellitus. Because DAN is multifaceted and difficult to diagnose in daily practice, it is frequently overlooked. Therefore, preoperative screening is paramount. It is essential to diagnose or rule out diabetic sensorimotor polyneuropathy before elective surgery. Wound healing disorders, new pressure ulcers, difficult perioperative pain management, or anesthesia incidents are common. Thus, practical advice regarding the perioperative management of diabetic neuropathies is summarized in this article.