Evidence map›Paper›PMID 40078889›Full record

ArticleAnaesthesia reports

Hybrid closed loop technology in emergency surgery in a person with type 1 diabetes.

H Afridi, P Olsen, N Levy, K Dhatariya

Abstract read
In one paragraph

Article in Anaesthesia reports. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

H AfridiDepartment of Anaesthesia and Pain Medicine West Suffolk Hospital NHS Trust Bury St. Edmunds Suffolk UK.ORCID https://orcid.org/0000-0003-0777-8731
P OlsenDepartment of Paediatric Diabetes West Suffolk Hospital NHS Trust Bury St. Edmunds Suffolk UK.
N LevyDepartment of Anaesthesia and Pain Medicine West Suffolk Hospital NHS Trust Bury St. Edmunds Suffolk UK.ORCID https://orcid.org/0000-0002-2225-1535
K DhatariyaElsie Bertram Diabetes Centre Norfolk and Norwich University Hospitals NHS Foundation Trust Norwich Norfolk UK.ORCID https://orcid.org/0000-0003-3619-9579

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Management of type 1 diabetes is constantly evolving. Hybrid closed loop technology is replacing multiple dose insulin and continuous subcutaneous insulin infusions as the preferred manner for managing type 1 diabetes in the community. Currently, there are no case reports or clinical guidelines to instruct practitioners on the safe peri-operative use of hybrid closed loop technology for patients requiring emergency surgery. In our case report we present the case of a 15-year-old male patient who required emergency surgery and wanted to continue the benefits of his hybrid closed loop technology in managing his diabetes peri-operatively. In addition, we discuss the strategies we used to overcome the issue of the continuous glucose monitor misreading paracetamol as glucose. Finally, we present the rationale for the guidance of safe peri-operative use of hybrid closed loop technology. This may allow other patients to benefit from continuation of hybrid closed loop technology during emergency surgery.

Indexed as

hybrid closed loopinsulin, type 1 diabetes mellitusparacetamolperioperativesurgery

Identifiers

PMID40078889
PMCPMC11894272

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.