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The changes of blood sugar and electrolyte in pediatric patients during fasting period prior to burn necrosis and skin grafting surgery
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Abstract
Objective: To evaluate changes in blood sugar and electrolytes in pediatric patients during fasting before burn excision and skin grafting.
Subjects and methods: A study was conducted on 50 pediatric patients (≥ 10 years old) with reasons for skin grafting and burn excision. They were given a supplemented oral carbohydrate-rich solution and fasted in accordance with Ministry of Health guidelines. Monitor clinical symptoms and blood sugar and electrolyte tests before fasting and before starting anesthesia.
Results: The children in the study scored 2.55/1.92 on the VAS for hunger/thirst prior to surgery and 1.19 and 1.02 on the VAS two hours after surgery, respectively. There were no statistically significant variations between the electrolyte and blood sugar levels before surgery and before fasting (p > 0.05). Following surgery, the rates of nausea and vomiting were 10% and 20% at the 2nd and 24th hours, respectively; no children experienced aspiration problems.
Conclusion: Pediatric patients did not exhibit indicators of hunger or thirst before surgery, and blood sugar and electrolytes did not alter during the preoperative fasting period with carbohydrate solution supplementation. In line with the ERAS trend, this safe procedure helps burn patients' metabolisms and lessens their preoperative discomfort.
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Keywords
Fasting before surgery, carbohydrate solution, blood sugar, electrolytes, necrosis and burn skin grafting
References
2. Christopher H. Pham, Mike Fang, Sebastian Q. Vrouwe, et al. Evaluating the Safety and Efficacy of Intraoperative Enteral Nutrition in Critically Ill Burn Patients: A Systematic Review and Meta-analysis. Journal of Burn Care & Research. 2020; 41(4):841-848.
3. Lassen K, Soop M, Nygren J, Cox PB, et al. Enhanced Recovery After Surgery (ERAS) Group. Consensus review of optimal perioperative care in colorectal surgery: Enhanced Recovery After Surgery (ERAS) Group recommendations. Arch Surg. 2009; 144(10):961-9.
4. Bộ Y tế (2024). Hướng dẫn nhịn ăn uống và cung cấp carbohydrate trước phẫu thuật chương trình.
5. Nguyễn Thị Ngọc Mai, Nguyễn Văn Kiên, Lê Đình Mạnh và cộng sự. Đánh giá hiệu quả cho người bệnh uống dung dịch maltodextrin 12,5% trước gây mê phẫu thuật 2 giờ. Tạp chí Y dược Lâm sàng 108. 17:46-52.
6. Tudor-Drobjewski BA, Marhofer P, Kimberger O, et al. Randomised controlled trial comparing preoperative carbohydrate loading with standard fasting in paediatric anaesthesia. Br J Anaesth. 2018; 121(3):656-661.
7. Winckworth S, Allorto NL, Clarke DL, et al. Perioperative fasting in burn patients: Are we
doing it right? South Africa J Surg. 2015; 53(2):65-6.
8. ISBI Practice Guidelines Committee; Steering Subcommittee; Advisory Subcommittee. ISBI Practice Guidelines for Burn Care. Burns. 2016; 42(5):953-1021.
9. H.Y.A. Togo, E.C. Lopes. Preoperative fasting reduction in burned patients: A systematic review. Burns Open. 2020; 4:176-182.
10. Lý Huyền Hòa (2019). Đánh giá thể tích tồn lưu dạ dày của dung dịch maltodextrin 12,5% uống 2 giờ trước gây mê. Luận văn tốt nghiệp bác sĩ nội trú. Đại học Y Dược thành phố Hồ Chí Minh.
11. Nguyễn Thị Thúy Hồng, Lường Hữu Bảy, Cao Việt Tùng và cộng sự. Cải thiện tình trạng kháng insulin thông qua bổ sung dung dịch giàu Carbonhydrate trước phẫu thuật cho bệnh nhân thông liên thất tại Bệnh viện Nhi Trung ương. Tạp chí Nghiên cứu Y học. 2022; 151(3):73-79.