ISSN: 1859 - 2872
The effect of maltodextrin 12.5% solution intake 2 hours before surgical anesthesia
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Abstract
Objective: To identify gastric residual volume and patient satisfaction when drinking 200ml of maltodextrin 12.5% solution 2 hours before surgical anesthesia. Subject and method: A prospective, cross-sectional study was performed on 102 spine surgery patients who were given maltodextridine sugar water 12.5% 2 hours before surgery at the Department of Spine surgery, 108 Military Central Hospital from September 2021 to March 2022. Result: Health classification according to ASA accounted for the majority in group II 82.35%; group III accounted for 7.84%. The amount of gastric residual volume in the intervention group (29.68 ± 14.89ml) was lower than the control group (32.45 ± 12.77ml), the difference was not statistically significant (p>0.05). The level of thirst in the intervention group was lower than in the control group before surgery and 2 hours after surgery. The intervention group taking maltodextrin solution before surgery had a satisfaction rate 2.86 times higher than the group not taking it. Conclusion: It is safe for patients to drink 200ml of maltodextrin 12.5% solution 2 hours before anesthesia, and it also reduces thirst for spine surgery patients. There is a diference in the satisfaction level between the intervention group anh the control group.
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References
2. Awad S, Varadhan KK, Ljungqvist O et al (2013) A meta-analysis of randomised controlled trials on preoperative oral carbohydrate treatment in elective surgery. Clin Nutr 32(1): 34-44.
3. Bisinotto FM, Pansani PL, Silveira LA et al (2017) Qualitative and quantitative ultrasound assessment of gastric content. Rev Assoc Med Bras (1992) 63(2): 134-141.
4. Brianez LR, Caporossi C, de Moura YW et al (2014) Gastric residual volume by magnetic ressonance after intake of maltodextrin and glutamine: A randomized double-blind, crossover study. Arq Gastroenterol 51(2): 123-127.
5. Gomes PC, Caporossi C, Aguilar-Nascimento JE et al (2017) Residual gastric volume evaluation with ultrasonography after ingestion of carbohydrate- or carbohydrate plus glutamine-enriched beverages: A randomized, crossover clinical trial with healthy volunteers. Arq Gastroenterol 54(1): 33-36.
6. Helminen H, Viitanen H and Sajanti J (2009) Effect of preoperative intravenous carbohydrate loading on preoperative discomfort in elective surgery patients. Eur J Anaesthesiol 26(2): 123-127.
7. Lassen K, Soop M, Nygren J et al (2009) Consensus review of optimal perioperative care in colorectal surgery: Enhanced Recovery After Surgery (ERAS) Group recommendations. Arch Surg 144(10): 961-969.
8. Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration (2017) Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration. Anesthesiology 126(3): 376-393. doi: 10.1097/ALN.0000000000001452.
9. Wang ZG, Wang Q, Wang WJ (2010) Randomized clinical trial to compare the effects of preoperative oral carbohydrate versus placebo on insulin resistance after colorectal surgery. Br J Surg 97(3): 317-327.
10. Yagci G, Can MF, Ozturk E et al (2008) Effects of preoperative carbohydrate loading on glucose metabolism and gastric contents in patients undergoing moderate surgery: A randomized, controlled trial. Nutrition 24(3): 212-216.
11. Yilmaz N, Cekmen N, Bilgin F et al (2013) Preoperative carbohydrate nutrition reduces postoperative nausea and vomiting compared to preoperative fasting. J Res Med Sci 18(10): 827-832.
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