Case Discussion – Diabetic Patient with Pyocele in Septic Shock Posted for Incision and Drainage

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Particulars in Field

Inputs

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Event name

Case Discussion – Diabetic Patient with Pyocele in Septic Shock Posted for Incision and Drainage

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Organizing Department / Committee

Department of Anaesthesiology

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Type of Event

Academic Case Discussion

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Level of Event

Postgraduate Academic Programme

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Collaboration / Accreditation if any

 Nil

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Dates and Duration

PG EXCEL 2026 (13–14 June 2026)

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Venue

Navodaya Medical College Hospital & Research Centre, Raichur

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Details of Delegates / Target Audience

Postgraduate students, interns, anaesthesiology trainees and faculty members

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Total Number of  Audience Attended

As per conference attendance records

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Objectives of the Event

 To improve perioperative decision-making, sepsis management, diabetic optimization, airway assessment and anaesthetic planning in highrisk emergency surgical patients.

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Brief Report of the Event (within 200 words)

This case discussion focused on the perioperative management of a diabetic patient presenting with pyocele and septic shock requiring emergency incision and drainage. The session emphasized early recognition of sepsis, rapid resuscitation, source control, and optimization before anaesthesia. Participants reviewed the pathophysiology of septic shock, glycaemic management, fluid resuscitation strategies, vasopressor use, antimicrobial therapy, and organ dysfunction assessment. Special attention was given to cardiovascular autonomic neuropathy, difficult airway considerations, aspiration risk, renal dysfunction, electrolyte abnormalities, and perioperative glucose control in diabetic patients. Anaesthetic goals included maintaining haemodynamic stability, ensuring adequate tissue perfusion, preventing hypothermia, and providing safe postoperative care. Various monitoring modalities, vasopressor choices, and intensive care planning were discussed. Interactive discussion highlighted evidence-based approaches for emergency surgery in septic patients and reinforced examination-oriented concepts frequently encountered in postgraduate anaesthesiology assessments. The session improved understanding of risk stratification, optimization strategies, intraoperative management, and postoperative critical care requirements. Participants actively engaged in analysing clinical findings, investigations, differential diagnoses, and management plans, thereby enhancing their clinical reasoning and decision-making skills in managing critically ill diabetic patients undergoing emergency surgical procedures.

This case of perioperative management of a diabetic      patient presenting with pyocele and septic shock requiring emergency incision and drainage was presented by: Dr Thanmaya J ,Dr Nagesh Prasad ,Junior residents,3rd year studying at Department of Anesthesiology 

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Feedback Analysis (Brief)

Participants appreciated the practical, examinationoriented discussion and interactive approach.

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Outcome

Improved understanding of perioperative management of septic shock and diabetes in emergency surgery.

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Challenges faced

Complexity of balancing sepsis resuscitation, glycaemic control and haemodynamic stability.

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Recommendations

Conduct more structured case-based discussions on critical care and emergency anaesthesia topics.

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SDG

Quality Education