Preoperative Fasting Time and Its Association with Hypoglycemia during Anesthesia in Pediatric Patients Undergoing Elective Procedures at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia.
Journal
BioMed research international
ISSN: 2314-6141
Titre abrégé: Biomed Res Int
Pays: United States
ID NLM: 101600173
Informations de publication
Date de publication:
2021
2021
Historique:
received:
07
04
2021
accepted:
10
07
2021
entrez:
2
8
2021
pubmed:
3
8
2021
medline:
23
9
2021
Statut:
epublish
Résumé
Preoperative fasting is important to reduce the risk of pulmonary aspiration during anesthesia. The influence of prolonged fasting time on glucose levels during anesthesia in children remains uncertain. Therefore, this study is aimed at assessing preoperative fasting time and its association with hypoglycemia during anesthesia in pediatric patients undergoing elective procedures at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. The research hypothesis of the study is as follows: there is a prolonged preoperative fasting time, and it influences the glucose levels during anesthesia among pediatric patients undergoing elective procedures at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Institutional based cross-sectional study was conducted among 258 pediatric patients who had undergone elective procedures in a tertiary care center. A systematic sampling method was used to select study participants. The data were collected through face-to-face interviews and medical record reviews. Binary logistic regression was used to identify associated factors of hypoglycemia during anesthesia among pediatric patients undergoing elective procedures. All explanatory variables with a The mean (standard deviation) fasting hours from breast milk, solid foods, and clear fluids were 7.75 (2.89), 13.25 (3.14), and 12.31 (3.22), respectively. The majority (89.9%, 57.9%, and 100%) of participants had fasted from solid, breast milk, and clear fluids for more than 8, 6, and 4 hours, respectively. More than one-fourth (26.2%) of participants were hypoglycemic immediately after induction. Residence, order of nothing per mouth, source of patient, and duration of fasting from solid foods had a significant association with hypoglycemia during anesthesia in children. Children undergoing elective procedures were exposed to unnecessarily long fasting times which were associated with hypoglycemia during anesthesia.
Sections du résumé
BACKGROUND
BACKGROUND
Preoperative fasting is important to reduce the risk of pulmonary aspiration during anesthesia. The influence of prolonged fasting time on glucose levels during anesthesia in children remains uncertain. Therefore, this study is aimed at assessing preoperative fasting time and its association with hypoglycemia during anesthesia in pediatric patients undergoing elective procedures at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. The research hypothesis of the study is as follows: there is a prolonged preoperative fasting time, and it influences the glucose levels during anesthesia among pediatric patients undergoing elective procedures at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia.
METHODS
METHODS
Institutional based cross-sectional study was conducted among 258 pediatric patients who had undergone elective procedures in a tertiary care center. A systematic sampling method was used to select study participants. The data were collected through face-to-face interviews and medical record reviews. Binary logistic regression was used to identify associated factors of hypoglycemia during anesthesia among pediatric patients undergoing elective procedures. All explanatory variables with a
RESULTS
RESULTS
The mean (standard deviation) fasting hours from breast milk, solid foods, and clear fluids were 7.75 (2.89), 13.25 (3.14), and 12.31 (3.22), respectively. The majority (89.9%, 57.9%, and 100%) of participants had fasted from solid, breast milk, and clear fluids for more than 8, 6, and 4 hours, respectively. More than one-fourth (26.2%) of participants were hypoglycemic immediately after induction. Residence, order of nothing per mouth, source of patient, and duration of fasting from solid foods had a significant association with hypoglycemia during anesthesia in children.
CONCLUSION
CONCLUSIONS
Children undergoing elective procedures were exposed to unnecessarily long fasting times which were associated with hypoglycemia during anesthesia.
Identifiants
pubmed: 34337059
doi: 10.1155/2021/9166603
pmc: PMC8298163
doi:
Substances chimiques
Blood Glucose
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
9166603Informations de copyright
Copyright © 2021 Hussien Endris Assen et al.
Déclaration de conflit d'intérêts
The authors declared that they have no competing interests.
Références
Diabetes Care. 2017 Jan;40(1):155-157
pubmed: 27872155
J Anaesthesiol Clin Pharmacol. 2013 Jan;29(1):88-91
pubmed: 23493776
World J Gastrointest Surg. 2010 Mar 27;2(3):57-60
pubmed: 21160851
Korean J Anesthesiol. 2018 Oct;71(5):394-400
pubmed: 29684984
AORN J. 2008 Dec;88(6):963-76
pubmed: 19054485
J Pak Med Assoc. 1990 Oct;40(10):243-5
pubmed: 2123262
Eur J Anaesthesiol. 2011 Aug;28(8):556-69
pubmed: 21712716
Anaesthesia. 1998 Apr;53(4):326-30
pubmed: 9613296
Paediatr Anaesth. 2008 Oct;18(10):1013-4
pubmed: 18811856
World J Surg. 2014 Sep;38(9):2200-4
pubmed: 24748347
J Adv Nurs. 1994 Jan;19(1):52-7
pubmed: 8138629
Curr Anesthesiol Rep. 2019 Sep;9(3):340-359
pubmed: 31406490
J Diabetes Res. 2020 Aug 21;2020:6725152
pubmed: 32904566
Anaesthesia. 1986 Mar;41(3):272-5
pubmed: 3963330
Acta Anaesthesiol Scand. 2005 Sep;49(8):1041-7
pubmed: 16095440
Br J Anaesth. 1972 Jul;44(7):712-5
pubmed: 5069176
J Anesth. 2005;19(3):187-92
pubmed: 16032444
Anesthesiology. 2011 Mar;114(3):495-511
pubmed: 21307770
Br J Anaesth. 1984 Nov;56(11):1225-8
pubmed: 6487443
Eur J Anaesthesiol. 2019 Mar;36(3):173-174
pubmed: 30694886
Cochrane Database Syst Rev. 2009 Oct 07;(4):CD005285
pubmed: 19821343
BMC Res Notes. 2019 Jul 11;12(1):391
pubmed: 31296269
Pan Afr Med J. 2016 Mar 16;23:102
pubmed: 27222691
Paediatr Anaesth. 2011 Sep;21(9):964-8
pubmed: 21489044
Cochrane Database Syst Rev. 2003;(4):CD004423
pubmed: 14584013
J Adv Nurs. 2007 Jun;58(6):566-75
pubmed: 17442028
Afr J Paediatr Surg. 2014 Oct-Dec;11(4):317-22
pubmed: 25323181