마취 전 금식된 소아에서 주술기 동안 투여된 수액과 혈당치 관계

Abstract

Abstract The relationship between blood glucose level and fluids administered during perioperative period in fasted children

Yang Jung Woo Advisor : Prof. An Tae Hun, M.D. Department of Medicine, Graduate School of Chosun University

Back Ground: Fasting during preoperative period is known to be a risk of perioperative hypoglycemia. Also, administration of glucose containing solution often causes postoperative hyperglycemia. In this study, we investigated the ideal type of solution which do not lead to hyperglycemia as well as hypoglycemia.

Methods: Eighty ASA physical status I and II pediatric patients (1~7 years) were randomly divided into four groups: Group I (Lactated Ringer`s solution, n=20), Group II (1:2:3 SD solution, n=20), Group III (1:2 SD solution, n=20), and Group IV (1:3 SD solution, n=20). Patients in group I, II, III, and IV received Lactated Ringer`s solution, 1:2:3 SD solution, 1:2 SD solution, and 1:3 SD solution, respectively. Blood glucose level was checked pre-induction, 1hr after induction and 1hr, 4hr, 8hr after end of operation. NPO time and total amounts of infused fluids were measured.

Results: There was no patient with preoperative hypoglycemia. There were no significant differences in the perioperative blood glucose level among the groups. Blood glucose levels at 1hr after induction were higher than those at pre-induction in all groups.

Conclusions: It seems that all of the four fluids with different glucose concentration are appropriate to fasted children.

Key Words: blood glucose level, fluid, fasting