The Effect of Preoperative Oral Carbohydrate Administration on Perioperative Hypothermia in Pediatric Patients

Başakşehir Çam & Sakura City Hospital2 enrolled

Overview

Hypothermia that may develop in the perioperative period is associated with many adverse clinical outcomes. In particular, pediatric patients were more susceptible to hypothermia and related complications such as respiratory distress, metabolic acidosis, hypoglycemia, hypoxemia, cardiac disorders, coagulopathy, and wound infection than adults. In this study, the effect of preoperative carbohydrate-rich feeding on temperature regulation in pediatric patients was investigated.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Perioperative Hypothermia

Eligibility

Sex: ALLMin age: 2 YearsMax age: 15 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patients to be operated on by the Department of Pediatric Surgery 2. Being between the ages of 2 and 15 3. Not restricting oral intake 4. ASA I-II-III patients in anesthesia risk score 5. Patients operated between 01.03.2019 and 31.07.2019 6. Not having any communication problems (mental retardation, not knowing Turkish, etc.) 7. Not having gastroesophageal reflux 8. Not having any muscle disease 9. Informed volunteer consent must be obtained 10. Patients for whom emergency surgery is not planned 11. No disease related to the central nervous system Exclusion Criteria: 1. Pediatric patients outside the 2-15 age range 2. Having limited oral intake 3. ASA IV and above in anesthesia risk scoring 4. Patients operated before 01.03.2019 or after 31.07.2019 5. Patients who may have communication problems with their parents or themselves 6. Patients with gastroesophageal reflux 7. Patients with muscle disease 8. Patients for whom informed voluntary consent has not been obtained 9. Patients who will undergo emergency surgery 10. Patients with diseases related to the central nervous system

Locations (1)

Başakşehir Çam and Sakura City Hospital

Istanbul, Turkey (Türkiye)

Outcomes

Primary Outcomes

the effect of oral clear liquid intake containing carbohydrates 3 hours before preoperatively on body temperature in the pediatric age group, compared to the group taking water 3 hours before surgery.

In order to benefit from the thermic effects of nutrients, intravenous or oral administration of nutrients before or during the operation has been used. These include administering amino acid solutions and administering carbohydrate solutions Providing essential nutrients increases metabolic heat production, reducing the inequality between heat production and loss. The primary goal of this approach is to increase energy expenditure following the administration of essential nutrients, causing a response known as diet-induced thermogenesis. The body temperatures of the patients were measured perioperative with a tympanic thermometer at regular intervals. Values lower than 36.0oC were considered as hypothermia.

Time frame: 1 March 2019- 31 july 2019

Data from ClinicalTrials.gov

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