Assessment of factors affecting on reduction of fast blood sugar before elective surgery in children

AUTHORS

Zohreh Montaseri 1 , * , Mohammad Hosein Eghbal 2 , Mohammad naby Rahimian 3 , Ghasem Sobhani 4 , Faramarz Kooshesh 5 , Fatemeh Gheidar 6

1 MSc of Pediatric Nursing, Shiraz University of Medical Sciences, Shiraz, Iran.

2 Department of Anesthesiology, Shiraz University of Medical Sciences, Shiraz, Iran.

3 Instructor Department of Anesthesiology, Shiraz University of Medical Sciences, Shiraz, Iran.

4 Instructor Department of Anesthesiology, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

5 MSc of Anesthesiology, Boushehr University of Medical Sciences, Boushehr, Iran.

6 MSc of Midwifery, Shiraz Univetsity of Medical Sciences, Shiraz, Iran.

How to Cite: Montaseri Z , Eghbal M H , Rahimian M N , Sobhani G , Kooshesh F , et al. Assessment of factors affecting on reduction of fast blood sugar before elective surgery in children, Hormozgan Med J. 2015 ; 19(5):e87605.

ARTICLE INFORMATION

Hormozgan Medical Journal: 19 (5); e87605
Published Online: May 19, 2015
Article Type: Research Article
Received: November 24, 2013
Accepted: May 19, 2015

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Abstract

Introduction: Reduction in blood sugar and prolong the duration of fasting in infants and
children’s surgery have many damages. The aim of this study is to determine the affecting
factors on the reduction of fasting blood sugar before an elective surgery for children.
Methods: This study is a randomized single-blind clinical trial and examining the patients that are
performed on 60 children for undergoing elective surgery and the effect of age variables and duration
of fasting on fasting blood sugar before induction of anesthesia was reviewed. Children were divided
into seven groups based on fasting duration and were divided into four groups based on the age.
Clotted blood sugar levels before induction of anesthesia and injecting of serum were examined. The
information was analyzed by using descriptive statistics and t-test with SPSS software.
Results: The highest incidence of hypoglycemia (blood sugar of 59-50) was observed in
children aged above 5 years (35.7%) and during the fasting hours more than 10.5 hours
(40%). The impact of age and hours of fasting variables on blood sugar was statistically
significant (P>0.0001).
Conclusion: The causes of hypoglycemia are with increasing age, duration of fasting, likely
less attention to children’s clinical signs and hypoglycemia behavior, lack of adequate and proper
fluids alternatives, giving lower risk and higher tolerance in older children to prolong fasting
duration. It is recommended to prepare a checklist of clinical symptoms and behaviors in children
and specified times before, during and after surgery shall be assessed and monitored. In addition,
the fasting tolerance duration should be reviewed and new review and guide should be
announced for the volume, type and duration of fluid intake before surgery in children. Obstacles
to increase the waiting duration for patients’ surgery must be reviewed and eliminated.

Keywords

Blood Glucose Pediatrics Anesthesia

© 2015, Hormozgan Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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