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[IP] Re: Wearing pump while surgery
Not too long ago several members wrote about their experience with pumps
and surgery, so I'm sure you will get some good advice.
A couple of weeks ago my 7 year old, pumping for 3 weeks, had major
surgery at a major children's hospital. I asked that she be allowed to keep
her pump on and this was flat out refused. It was the hospital's endo that
made all these decisions, it had nothing to do with the surgeon or the
anaesthetist. (The endo had been my daughter's doctor until she refused us a
pump and we went elsewhere to get it.) She was put on an IV insulin infusion
and I was surprised to see how well it worked, bgs were quite stable for 14
hours, and then started creeping up, so the rate was increased. Her basal
rate is .3-.4 hour on the pump and the IV drip was set at .6, with a small
amount of dextrose in the IV fluid. As she could not drink for 48 hours, the
IV worked okay and it was a bit of a relief for me to not have to worry about
changing a pump site. It was the nurse who had to decide that the IV site
had gone bad and call the IV team in the middle of the night (traumatic).
Once Claire could drink, I put her pump back on and bolused for the carbs in
Insulin given in an IV infusion has the advantage that it can be turned
off immediately if your bgs go too low. It clears the system in 5 minutes I
Just before Claire was taken into surgery I checked her bg with our
meter, to reassure myself mostly. The anaesthetist came back a minute later
and asked if he could take the meter with him to test her during the
surgery--he was quite taken with this fancy device!!! We are using the Ultra
One Touch. I was surprised as I knew that some hospitals insisted on only
using their own meters, but he said that they didn't have anything "like
that" at all.
Good luck with everything.
Barbara, Mum of Claire 7
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