Volume 19, Number 5 (12-2015)                   hmj 2015, 19(5): 319-325 | Back to browse issues page


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Z. Montaseri, MN. Rahimian, Gh. Sobhani, S. Ramazani. Assessment of factors affecting on reduction of fast blood sugar before elective surgery in children . hmj. 2015; 19 (5) :319-325
URL: http://hmj.hums.ac.ir/article-1-1537-en.html

Abstract:   (1391 Views)

Introduction: Reduction in blood sugar and prolong the duration of fasting in infants and children’s surgery have many damages. The aim of this study is to determine the affecting factors on the reduction of fasting blood sugar before an elective surgery for children.

Methods: This study is a randomized single-blind clinical trial and examining the patients that are performed on 60 children for undergoing elective surgery and the effect of age variables and duration of fasting on fasting blood sugar before induction of anesthesia was reviewed. Children were divided into seven groups based on fasting duration and were divided into four groups based on the age. Clotted blood sugar levels before induction of anesthesia and injecting of serum were examined. The information was analyzed by using descriptive statistics and T-test with SPSS software.

Results: The highest incidence of hypoglycemia (blood sugar of 59-50) was observed in children aged above 5 years (35.7%) and during the fasting hours more than 10.5 hours (40%). The impact of age and hours of fasting variables on blood sugar was statistically significant (P>0.0001).

Correspondence:

Zohreh Montaseri, MSc.

Faculty of Nursing & Midwifery, Shiraz University of Medical Sciences.

Shiraz, Iran

Tel:+98 9177041987

Email:

monaseriz@sums.ac.ir

Conclusion: The causes of hypoglycemia are with increasing age, duration of fasting, likely less attention to children’s clinical signs and hypoglycemia behavior, lack of adequate and proper fluids alternatives, giving lower risk and higher tolerance in older children to prolong fasting duration. It is recommended to prepare a checklist of clinical symptoms and behaviors in children and specified times before, during and after surgery shall be assessed and monitored. In addition, the fasting tolerance duration should be reviewed and new review and guide should be announced for the volume, type and duration of fluid intake before surgery in children. Obstacles to increase the waiting duration for patients’ surgery must be reviewed and eliminated

Full-Text [PDF 261 kb]   (395 Downloads)    
Type of Study: Research | Subject: medical
Received: 2016/04/5 | Accepted: 2016/04/5 | Published: 2016/04/5

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