open access

Vol 46, No 3 (2014 Jul-Aug)
Case reports
Submitted: 2014-07-29
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Hyperglycaemia and ketosis in a non-diabetic patient — an unusual cause of delayed recovery

Sundeep T. Pawar, Soumya S. Nath, Farrukh Ansari
DOI: 10.5603/AIT.2014.0031
·
Anaesthesiol Intensive Ther 2014;46(3):171-174.

open access

Vol 46, No 3 (2014 Jul-Aug)
Case reports
Submitted: 2014-07-29

Abstract

We report a case of hyperglycaemia and ketosis developing in a non-diabetic patient who underwent a neurosurgical procedure under general anaesthesia. A 52-year-old non-diabetic female patient underwent excision of acoustic neuroma under general anaesthesia. Pancreatic function was not disturbed and she received a single dose of dexamethasone (8 mg) and paracetamol (1 g). Delayed recovery from anaesthesia occurred. On investigation, she was found to have hyperglycaemia and ketosis. She was further managed on the line of diabetic ketoacidosis. After 24 hours, when blood glucose had normalised and ketosis abated, she could be weaned from mechanical ventilation and extubated. The patient did not receive any drugs known to cause such a condition. To the best of our knowledge, hyperglycaemia and ketosis developing in a non-diabetic patient causing delayed recovery and extubation is here reported for the first time.

Abstract

We report a case of hyperglycaemia and ketosis developing in a non-diabetic patient who underwent a neurosurgical procedure under general anaesthesia. A 52-year-old non-diabetic female patient underwent excision of acoustic neuroma under general anaesthesia. Pancreatic function was not disturbed and she received a single dose of dexamethasone (8 mg) and paracetamol (1 g). Delayed recovery from anaesthesia occurred. On investigation, she was found to have hyperglycaemia and ketosis. She was further managed on the line of diabetic ketoacidosis. After 24 hours, when blood glucose had normalised and ketosis abated, she could be weaned from mechanical ventilation and extubated. The patient did not receive any drugs known to cause such a condition. To the best of our knowledge, hyperglycaemia and ketosis developing in a non-diabetic patient causing delayed recovery and extubation is here reported for the first time.

Get Citation

Keywords

general anaesthesia, recovery, hyperglycaemia, ketosis, lactic acidosis, starvation

About this article
Title

Hyperglycaemia and ketosis in a non-diabetic patient — an unusual cause of delayed recovery

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 46, No 3 (2014 Jul-Aug)

Pages

171-174

DOI

10.5603/AIT.2014.0031

Bibliographic record

Anaesthesiol Intensive Ther 2014;46(3):171-174.

Keywords

general anaesthesia
recovery
hyperglycaemia
ketosis
lactic acidosis
starvation

Authors

Sundeep T. Pawar
Soumya S. Nath
Farrukh Ansari

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