Anaesthesiology intensive therapy
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Anaesthesiol Intensive Ther · Apr 2014
Randomized Controlled TrialTolerance of, and metabolic effects of, preoperative oral carbohydrate administration in children - a preliminary report.
The need for long preoperative fasting has been questioned. Recent data shows that intake of an oral carbohydrate-containing clear fluid prior to anaesthesia is safe and may have a positive impact on recovery and metabolic status and could improve glucose tolerance. Such solutions are routinely used in adults but not children. The aim of this study was to evaluate the safety, tolerance and influence of oral carbohydrate on selected metabolic parameters in children. ⋯ Oral carbohydrates are safe, well tolerated and do not cause any perioperative adverse events. They seem to improve postoperative metabolism by decreasing insulin resistance.