Preoperative Two Hours Carbohydrate Load On Pediatric Patient Undergoing Elective Surgery

Tanta University

Status

Completed

Conditions

Elective Surgery

Preoperative

Carbohydrate

Pediatric

Treatments

Other: Water

Other: Apple juice

Drug: Anhydrous glucose

Study type

Interventional

Funder types

Other

Identifiers

NCT06833671

35506/5/22

Details and patient eligibility

About

This work evaluated the systemic effect of different preoperative carbohydrate (CHO) loads in pediatrics undergoing elective surgery.

Full description

Children undergoing surgery experience stress due to disruptions in their daily routine and exposure to various perioperative circumstances that induce anxiety and pain.

The management of perioperative nutrition in pediatric patients is a crucial aspect of patient care.

The concept of preoperative carbohydrate (CHO) loading has gained attention as a potential strategy to mitigate these drawbacks. The administration of a CHO-rich drink two hours preoperative has been proposed to maintain euglycemia, decline IR, and enhance postoperative recovery

Enrollment

90 patients

Sex

All

Ages

5 to 10 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Age from 5 to 10 years.
Both sexes.
American Society of Anesthesiologists (ASA) physical status I and II.
Scheduled for elective surgery.

Exclusion criteria

Diabetes mellitus.
Insulin resistance (IR).
Renal or hepatic insufficiency.
Esophageal or gastric surgery or gastrointestinal disorders history (including gastroesophageal reflux, hiatal hernia, or gastritis).

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

90 participants in 3 patient groups

Apple juice group

Experimental group

Description:

A preoperative carbohydrate load was done two hours before the operation using a10 ml/kg, with a maximal volume of 250 ml of commercial brand of apple juice (glucose 28 g in 250 ml).

Treatment:

Other: Apple juice

Anhydrous glucose group

Experimental group

Description:

A preoperative carbohydrate load was done using 1.75mg/kg/dose of anhydrous glucose (Alpha Chmika).

Treatment:

Drug: Anhydrous glucose

Water group

Other group

Description:

Patients received water