Patients with organic acidaemias who are usually well controlled can easily decompensate during surgery, precipitated by a combination of stress and fasting. Elective surgery in these patients is usually best done at the hospital with the regional metabolic unit. It is important to follow an appropriate protocol, minimising catabolism by providing adequate amounts of carbohydrate. This protocol should be used in conjunction with the emergency regimens that are also available on the BIMDG website.
The guideline applies to patients with:
Sections of the guideline include: history taking and preparation, pre-operative management, extra intra-operative instructions, post-operative procedure.