{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:32:46Z","timestamp":1784248366671,"version":"3.55.0"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T00:00:00Z","timestamp":1739923200000},"content-version":"vor","delay-in-days":49,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia Reports"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>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\u2010operative use of hybrid closed loop technology for patients requiring emergency surgery. In our case report we present the case of a 15\u2010year\u2010old male patient who required emergency surgery and wanted to continue the benefits of his hybrid closed loop technology in managing his diabetes peri\u2010operatively. 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\u2010operative use of hybrid closed loop technology. This may allow other patients to benefit from continuation of hybrid closed loop technology during emergency surgery.<\/jats:p>","DOI":"10.1002\/anr3.70003","type":"journal-article","created":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T23:29:26Z","timestamp":1740007766000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Hybrid closed loop technology in emergency surgery in a person with type 1 diabetes"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0777-8731","authenticated-orcid":false,"given":"H.","family":"Afridi","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Pain Medicine West Suffolk Hospital NHS Trust  Bury St. Edmunds Suffolk UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Olsen","sequence":"additional","affiliation":[{"name":"Department of Paediatric Diabetes West Suffolk Hospital NHS Trust  Bury St. Edmunds Suffolk UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2225-1535","authenticated-orcid":false,"given":"N.","family":"Levy","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Pain Medicine West Suffolk Hospital NHS Trust  Bury St. Edmunds Suffolk UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3619-9579","authenticated-orcid":false,"given":"K.","family":"Dhatariya","sequence":"additional","affiliation":[{"name":"Elsie Bertram Diabetes Centre Norfolk and Norwich University Hospitals NHS Foundation Trust  Norwich Norfolk UK"},{"name":"Norwich Medical School University of East Anglia  Norwich UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,19]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125\u2010021\u201005568\u20103"},{"key":"e_1_2_5_3_1","unstructured":"National Institute for Health and Care Excellence.Hybrid closed loop systems for managing blood glucose levels in type 1 diabetes. TA 943 2023.https:\/\/www.nice.org.uk\/guidance\/ta943(accessed 28\/01\/2025)."},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0000000000007115"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.15452"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2024.111627"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/19322968211065065"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1932296817697329"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/19322968241275701"},{"key":"e_1_2_5_10_1","unstructured":"AymanG DhatariyaK DhesiJ et\u00a0al.Guideline for perioperative care for people with diabetes mellitus undergoing elective and emergency surgery 2022.https:\/\/cpoc.org.uk\/sites\/cpoc\/files\/documents\/2022\u201012\/CPOC\u2010Diabetes\u2010Guideline\u2010Updated2022.pdf(accessed 21\/01\/2025)."},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1932296818755797"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eprac.2023.06.007"}],"container-title":["Anaesthesia Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.70003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T13:14:21Z","timestamp":1759929261000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1002\/anr3.70003"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1002\/anr3.70003"],"URL":"https:\/\/doi.org\/10.1002\/anr3.70003","archive":["Portico"],"relation":{},"ISSN":["2637-3726","2637-3726"],"issn-type":[{"value":"2637-3726","type":"print"},{"value":"2637-3726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2025-02-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70003"}}