Which electrolyte disturbance is NOT commonly associated with the effects of insulin resistance during surgery?

Insulin resistance during surgery affects various electrolyte balances in the body, primarily involving potassium, sodium, and calcium disturbances. However, potassium is often associated with insulin and glucose metabolism due to its relationship with insulin signaling and cellular uptake. Insulin promotes the uptake of potassium into cells, and disturbances in this mineral may be seen during hyperglycemic states or due to the stress of surgery.

On the other hand, sodium bicarbonate's usage in surgery, particularly when treating acidosis, does not have a direct link to insulin resistance. The body's management of bicarbonate during surgical stress is more related to acid-base status rather than insulin signaling. Sodium itself can be influenced by fluid shifts and changes in renal function during surgery but is not specifically linked to insulin resistance in the same manner as potassium and calcium.

Calcium levels might fluctuate during surgery, affected by hormonal changes and the physiologic demands of the body, but like sodium, calcium imbalance does not strongly correlate with the effects of insulin resistance. Thus, given the context of electrolyte disturbances specifically tied to insulin resistance, sodium bicarbonate is least commonly associated with these effects during surgical procedures.