RT Journal Article
T1 [A comparison of post-surgical plasma glucose levels in patients on fluids with different glucose concentrations].
T2 Comparación de niveles de glucemia postoperatoria usando sueros con diferente concentración de glucosa.
A1 Martínez Carapeto, Isabel
A1 López Castilla, José Domingo
A1 Fresneda Gutiérrez, Reyes
K1 Fluidoterapia intravenosa de mantenimiento
K1 Hiperglucemia
K1 Hyperglycaemia
K1 Maintenance intravenous fluid therapy
K1 Post-operative
K1 Postoperatorio
AB To compare plasma glucose levels and incidence of hyperglycaemia in the post-operative period after general surgery using fluids with different glucose. A randomised, open-label, non-blind, clinical trial was conducted on patients admitted to Paediatric Intensive Care Unit after elective surgery. The inclusion criteria were from 6 months to 14 years of age, with a weight greater than 6kg, onset glucose level >60mg/dL, and a signed informed consent, with no oral intake and maintenance intravenous fluid therapy using fluids with 3.3% or 5% glucose. Plasma glucose levels were measured before surgery, on admission, and 8, 24, and 48h, with the mean glucose levels and incidence of hyperglycaemia (glucose level >150mg/dL) in both groups being compared. A total of 60 patients received glucose/saline 1/3 (51mEq/L sodium and 33g/L glucose), and 70 glucose/saline 5/0.9% (154mEq/L sodium and 50g/L glucose). Mean glucose levels were higher in the group receiving glucose 5%, with no statistical difference. There was no significant difference in the incidence of hyperglycaemia; 8h: 26% in the 3.3% group vs. 21.3% in the 5% group (P=.63); 24h: 20% vs. 22.7% (P=.8); and 48h: 19% vs. 23.1% (P=.78). The use of fluids with 3.3% glucose in the post-operative period of general surgery maintains mean glucose levels in a similar range to that of patients receiving fluids with 5% glucose, with no difference in the incidence of hyperglycaemia.
YR 2017
FD 2017-11-11
LK http://hdl.handle.net/10668/11792
UL http://hdl.handle.net/10668/11792
LA es
DS RISalud
RD Apr 19, 2025