Percentage of cases with perioperative glucose < 60 with administration of dextrose containing solution or glucose recheck within 90 minutes of original glucose measurement
Intraoperative
The provider signed in at the first glucose recheck or first administration of dextrose. If neither occurred, then the responsible provider is the one signed in 90 minutes after the low glucose measurement.
Dextrose MPOG Concept IDs |
Glucose MPOG Concept IDs |
||
10152 |
Dextrose |
3361 |
POC- Glucose (Fingerstick) |
10153 |
Dextrose 50% |
3362 |
POC- Glucose (Unspecified Source) |
10460 |
Dextrose / Water 5% |
3405 |
POC- Blood Gas- Glucose |
10461 |
Dextrose / Lactated Ringers 5% |
5003 |
Formal Lab-Glucose, Serum/Plasma |
10462 |
Dextrose / Water 10% |
5036 |
Formal Lab-Blood Gas, Glucose |
10465 |
Dextrose / Saline 5% / 0.225% |
|
|
10466 |
Dextrose / Saline 5% / 0.45% |
|
|
10467 |
Dextrose / Saline 5% / 0.9% |
|
|
10468 |
Dextrose / Saline w/KCl 5%/ 0.45% + 20 MEQ/L |
|
|
10469 |
Dextrose / Saline w/KCl 5%/ 0.9% + 20 MEQ/L |
|
|
10470 |
Dextrose / Saline 10% / 0.45% |
|
|
10539 |
Dextrose 10% w/ Lactated Ringers |
|
|
10548 |
Plasmalyte 148 w/ Dextrose 5% |
|
|
10558 |
Dextrose / Saline w/KCl 5%/ 0.225% + 20 MEQ/L |
|
|
10559 |
Dextrose / Saline w/KCl 5%/ 0.45% + 40 MEQ/L |
|
|
10588 |
Dextrose / Saline w/KCl 10%/ 0.225% + 20 MEQ/L |
|
|
10594 |
Dextrose / Saline w/KCl 5%/ 0.45% + 10MEQ/L |
|
|
10602 |
Dextrose / Saline 10% / 0.225% |
|
|
10471 |
Total Parenteral Nutrition |
|
|
10530 |
Peripheral Parenteral Nutrition |
|
|
10796 | Glucose Chew Tablet | ||
10797 | Glucose Gel 40% |
The American Diabetes Association uses an outpatient hypoglycemia definition of <70 mg/dL6,7. Severe hypoglycemia in inpatients is considered <40mg/dL6. Acute hypoglycemia in the perioperative period can lead to inadequate supply of glucose to the brain, resulting in seizures, permanent brain damage, and death. In hospitalized diabetic patients, hypoglycemia has been associated with increased length of stay and mortality.5 The risk of negative sequelae related to hypoglycemia is reduced with early recognition and treatment of mild to moderate hypoglycemia (40-69mg/dL)6,8,9. The common signs/symptoms of hypoglycemia are masked by general anesthesia, making vigilance and quick treatment especially important.1 Fasting patients with or without diabetes and diabetic patients treated with oral glycemic agents or insulin are at increased risk of perioperative hypoglycemia.2-3
Perioperative hypoglycemia is a rare event typically caused by the following: 4
Not applicable