Abstract

PINEDO LECHUGA, Marcela; VAZQUEZ RAMIREZ, Roxana  and  MURILLO CORONA, Pamela. Euglycemic diabetic ketoacidosis in perioperative state due to resection of the epidermoid cyst of the pontocerebellar angle. Med. crít. (Col. Mex. Med. Crít.) [online]. 2020, vol.34, n.4, pp.245-248.  Epub Apr 25, 2022. ISSN 2448-8909.  https://doi.org/10.35366/95880.

Diabetic ketoacidosis is an acute complication of diabetes, characterized by metabolic acidosis with an increase in the values of anion gap and evidence of ketone bodies in blood or urine. In most cases, it is present with hyperglycemia. Euglycemic diabetic ketoacidosis is defined by the triad of glucose with values < than 200 mg/dL, metabolic acidosis with high anion gap and ketonemia. The factors associated with this entity are pregnancy, treatment with SGLT2, decrease in caloric intake, liver disease, chronic alcohol intake, use of insulin prior to hospitalization, sepsis, pancreatitis, increase in counter-regulatory hormones and perioperative states. The basis of the treatment is the rapid correction of dehydration with intravenous fluids, as well as the use of insulin drip along with a solution containing dextrose until the anion gap, and bicarbonate levels normalize. In this article, a case of a patient admitted to the ICU in the immediate perioperative period is reported.

Keywords : Euglycemic diabetic ketoacidosis; risk factors; diagnosis; treatment.

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