Comparison between Glucose Containing Solution D2.5% and Ringer Lactate as a Maintenance Fluid Management in Infants Undergoing Inguinal Hernia Repair
Mohammed Hosny Hasan Mohamed;
Abstract
Background: Infants and neonates are at particular risk of hypoglycemia when suffering from sepsis, asphyxia and hypothermia. A prospective study showed that up to 20% of preterm infants who were ready for discharge were still at risk of hypoglycemia when a feed was delayed. In contrast, surgery and critical illness may cause hyperglycemia.
Objectives: The aim of this study is to Assessment of glucose containing solutions 2.5 % as a maintenance fluid management intra operative in infants undergoing hernia repair as regard hyperglycemia and hypoglycemia.
Patients and Methods: The study was conducted on 100 randomly chosen patients aged from 28 days to 1 year, American Society of Anesthesiologists (ASA) class I scheduled for elective open inguinal hernia repair in Ain Shams University Hospitals after approval of the medical ethical committee. They were allocated in two groups of 50 patients each: Ringer lactate Group: patients received ringer lactate as maintenance fluid therapy according to body weight, glucose containing solution: patients received glucose containing solution 2.5% as maintenance fluid therapy according to body weight.
Results: The results of the study revealed that patients receiving glucose containing solution 2.5 % 6 out of 50 had only mild simple hyperglycemia with no hypoglycemic patients recorded while the other group with ringer lactate only one of 50 had simple hyperglycemia and another two patients out of 50 had hypoglycemia.
Conclusion: The usage of glucose containing solution 2.5% remained controversial, in this study we compared glucose 2.5 % in normal saline 0,9 % to ringer lactate and the results didn’t put a final dicision to the usage of glucose contatining solutions as the group who took glucose containing solution 6 patients of 50 suffered from mild simple hyperglycemia while the other group who took ringer lactate two of 50 suffered from hypoglycemia and another one suffered from hyperglycemia
Objectives: The aim of this study is to Assessment of glucose containing solutions 2.5 % as a maintenance fluid management intra operative in infants undergoing hernia repair as regard hyperglycemia and hypoglycemia.
Patients and Methods: The study was conducted on 100 randomly chosen patients aged from 28 days to 1 year, American Society of Anesthesiologists (ASA) class I scheduled for elective open inguinal hernia repair in Ain Shams University Hospitals after approval of the medical ethical committee. They were allocated in two groups of 50 patients each: Ringer lactate Group: patients received ringer lactate as maintenance fluid therapy according to body weight, glucose containing solution: patients received glucose containing solution 2.5% as maintenance fluid therapy according to body weight.
Results: The results of the study revealed that patients receiving glucose containing solution 2.5 % 6 out of 50 had only mild simple hyperglycemia with no hypoglycemic patients recorded while the other group with ringer lactate only one of 50 had simple hyperglycemia and another two patients out of 50 had hypoglycemia.
Conclusion: The usage of glucose containing solution 2.5% remained controversial, in this study we compared glucose 2.5 % in normal saline 0,9 % to ringer lactate and the results didn’t put a final dicision to the usage of glucose contatining solutions as the group who took glucose containing solution 6 patients of 50 suffered from mild simple hyperglycemia while the other group who took ringer lactate two of 50 suffered from hypoglycemia and another one suffered from hyperglycemia
Other data
| Title | Comparison between Glucose Containing Solution D2.5% and Ringer Lactate as a Maintenance Fluid Management in Infants Undergoing Inguinal Hernia Repair | Other Titles | مقارنه محلول جلوكوز 2.5% و الرينجر كسائل استمراري في الأطفال تحت عمر السنة في عمليات إصلاح الفتق الإربي | Authors | Mohammed Hosny Hasan Mohamed | Issue Date | 2019 |
Attached Files
| File | Size | Format | |
|---|---|---|---|
| CC6104.pdf | 570 kB | Adobe PDF | View/Open |
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