ISSN:
1460-9592
Source:
Blackwell Publishing Journal Backfiles 1879-2005
Topics:
Medicine
Notes:
Background : We aimed to evaluate the efficacy of clear liquids orally administered at 06:00–06:30 am on the morning of surgery to reduce prolonged preoperative fasting periods.Methods : After obtaining informed parental consent, 100 children undergoing scheduled orthopedic surgical procedures, ASA I–II, were randomly allocated to two groups. In group 1, children underwent the typical overnight preoperative period and patients in group 2 received a commercial brand of apple juice (glucose 28 g in 250 ml) at 06:00–06:30 am on the day of surgery. Patients 〈3 years old received 15 ml·kg−1 and older children 10 ml·kg−1 to a maximum volume of 250 ml. All patients underwent overnight fasting for milk and solids.Results : Fasting time was 4.8 ± 2.1 h (ranging from 3 to 11 h) in the group receiving apple juice at 06:00–06:30 am and 13.2 ± 3.3 h (ranging from 5 to 19 h) in the overnight-fasting group (P 〈 0.05; 95% CI: −9.6 to −7.4 h). More patients were irritable (odds ratio, OR 4.5; 95% CI: 1.9–10.8) and dehydrated (OR 21.6; 95% CI: 5.9–79.0) in the overnight-fasting group. Glucose levels 〈2.7 mmol·l−1 (50 mg·dl−1) were not reported in any case.Conclusions : A 15 ml·kg−1 of apple juice for patients of 〈3 years of age or 10 ml·kg−1 for older children, at 06:00–06:30 am of the surgical morning is a simple procedure to prevent dehydration and to produce positive behavior in low-risk, pediatric surgical patients.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1111/j.1460-9592.2005.01517.x
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