Neurologic evaluation

Diabetic sufferers can possibly have impaired gastrointestinal motility, which increases the risk of aspirations and also delays onset of patient feeding postoperatively.

Possible presence of urinary bladder dysfunction frequently leads to urine retention, which is also facilitated by the postoperative use of strong opiate-containing analgesics. The doctor should be aware of the presence of gastrointestinal and bladder dysfunction, and so should exert extreme diligence in monitoring fluid balance and using medicines that affect them during surgery.

The anaesthesiologist should be aware of the possible presence of orthostatic hypotension (which is commonly associated with neuropathy), so that he or she can predict possible haemodynamic alterations during anaesthesia.

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