The goal of this Randomized controlled trial is to investigate the effect of shortening the duration of preoperative oral carbohydrate drinks on blood pressure after anesthesia induction in elderly patients undergoing joint replacement surgery. The main question it aims to answer is Whether preoperative oral carbohydrate drinks can reduce the incidence of hypotension after anesthesia-induced hypotension in elderly patients undergoing joint replacement surgery.According to the numerical table method, the patients in the experimental group will drink carbohydrate drinks the night before the operation and 3 hours before the operation, and the control group patients will routinely fast
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
210
To ensure the safety of the trial, preoperative gastric ultrasound measurements will be performed on all patients to assess their gastric volume. See above for other details
Incidence of hypotension
No surgical manipulation is performed within 20 minutes
Time frame: 20 minutes after induction of anesthesia
Duration of fasting and drinking
Time frame: 1 day before the operation
Antral cross-sectional area
Time frame: 30 minutes before anesthesia induction
Incidence of hypotension
Time frame: during the whole operation
The dosage of vasoactive drugs
Time frame: 20 minutes after induction of anesthesia
Thirst and hunger VAS score
Time frame: 3 hours before and 1 day after the operation
Fasting blood glucose and insulin resistance index
Time frame: 3 hours before the operation
Incidence of nausea and vomiting
Time frame: 1 day after the operation
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