Glucose

A reevaluation of its intraoperative use in paediatric surgery

Siew Kiau Lim, S. P. Loh

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Blood glucose concentration was measured in 100 children immediately before and during surgery. These children were randomly assigned to receive either lactated Ringers (LR) solution or 5% dextrose in lactated Ringers (5%D/LR) intraoperatively as maintenance and replacement fluids. Blood samples were taken immediately after induction of anaesthesia and at 1/4 , 1, 1.5, 2 and subsequent hours. Blood glucose concentration was assayed by a reflectance meter. None of the patients was noted to be hypoglycaemic pre- and intraoperatively. Intraoperative blood glucose concentration increased significantly (p<0.05) from preoperative levels for both groups of children but the increase in those that received 5%D/LR was significantly greater (p<0.05) than those who received LR. The number of children who were hyperglycaemic during surgery was also greater in those who received 5% dextrose in lactated Ringers as their intraoperative fluid. These data suggest that lactated Ringer's alone is a safe and appropriate fluid for intraoperative fluid therapy in children.

Original languageEnglish
Pages (from-to)64-69
Number of pages6
JournalMedical Journal of Malaysia
Volume52
Issue number1
Publication statusPublished - 1997

Fingerprint

Pediatrics
Glucose
Blood Glucose
Fluid Therapy
Hypoglycemic Agents
Ringer's lactate
Anesthesia
Maintenance

Keywords

  • Anaesthesia
  • Blood
  • Glucose
  • Paediatric

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Glucose : A reevaluation of its intraoperative use in paediatric surgery. / Lim, Siew Kiau; Loh, S. P.

In: Medical Journal of Malaysia, Vol. 52, No. 1, 1997, p. 64-69.

Research output: Contribution to journalArticle

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