Please use this identifier to cite or link to this item:
Title: [A comparison of post-surgical plasma glucose levels in patients on fluids with different glucose concentrations].
Other Titles: Comparación de niveles de glucemia postoperatoria usando sueros con diferente concentración de glucosa.
Authors: Martínez Carapeto, Isabel
López Castilla, José Domingo
Fresneda Gutiérrez, Reyes
Keywords: Fluidoterapia intravenosa de mantenimiento;Hiperglucemia;Hyperglycaemia;Maintenance intravenous fluid therapy;Post-operative;Postoperatorio
metadata.dc.subject.mesh: Adolescent
Blood Glucose
Child, Preschool
Fluid Therapy
Postoperative Complications
Prospective Studies
Issue Date: 11-Nov-2017
Abstract: To compare plasma glucose levels and incidence of hyperglycaemia in the post-operative period after general surgery using fluids with different glucose. A randomised, open-label, non-blind, clinical trial was conducted on patients admitted to Paediatric Intensive Care Unit after elective surgery. The inclusion criteria were from 6 months to 14 years of age, with a weight greater than 6kg, onset glucose level >60mg/dL, and a signed informed consent, with no oral intake and maintenance intravenous fluid therapy using fluids with 3.3% or 5% glucose. Plasma glucose levels were measured before surgery, on admission, and 8, 24, and 48h, with the mean glucose levels and incidence of hyperglycaemia (glucose level >150mg/dL) in both groups being compared. A total of 60 patients received glucose/saline 1/3 (51mEq/L sodium and 33g/L glucose), and 70 glucose/saline 5/0.9% (154mEq/L sodium and 50g/L glucose). Mean glucose levels were higher in the group receiving glucose 5%, with no statistical difference. There was no significant difference in the incidence of hyperglycaemia; 8h: 26% in the 3.3% group vs. 21.3% in the 5% group (P=.63); 24h: 20% vs. 22.7% (P=.8); and 48h: 19% vs. 23.1% (P=.78). The use of fluids with 3.3% glucose in the post-operative period of general surgery maintains mean glucose levels in a similar range to that of patients receiving fluids with 5% glucose, with no difference in the incidence of hyperglycaemia.
metadata.dc.identifier.doi: 10.1016/j.anpedi.2017.10.002
Appears in Collections:Producción 2020

Files in This Item:
There are no files associated with this item.

This item is protected by original copyright

This item is licensed under a Creative Commons License Creative Commons