Infusionstherapie und Transfusionsmedizin
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Infusionsther Transfusionsmed · Apr 1996
Randomized Controlled Trial Comparative Study Clinical TrialComparison of two solutions with different glucose concentrations for infusion therapy during laparotomies in infants.
Comparison of two commercially available solutions for intraoperative infusion therapy during laparotomies in infants using a standardized anesthetic technique (combination of general anesthesia with a caudal block). ⋯ Solutions containing 5.5% glucose infused with 8 ml/kg/h caused in both age groups of infants intolerable hyperglycemias. In young infants, also a solution containing 2.5% glucose infused at a rate of 8 ml/kg/h leads to hyperglycemia, while in older children this amount of glucose is tolerated. It is recommended that for abdominal surgery in young infants glucose and fluid substitution is separated, in order to infuse glucose at an even lower rate. Still, blood glucose levels have to be monitored closely.