A 14-year-old male with well-controlled type 1 diabetes and idiopathic scoliosis presents for posterior spine fusion. The surgery is expected to take four hours with an anticipated blood loss of 600mL. He uses an insulin pump for insulin administration. The insulin pump insertion site is located on the patient’s lateral abdomen and will not interfere with the operative field or prone positioning. Which intraoperative insulin management plan is MOST appropriate for this patient?
Question of the Week #117