Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2021.02.053
Brazilian Journal of Anesthesiology
Clinical Research

Effect of preoperative oral liquid carbohydrate intake on blood glucose, fasting-thirst, and fatigue levels: a randomized controlled study

Efeito da ingestão pré-operatória de bebida com carboidrato sobre níveis de glicemia, sede pelo jejum e fadiga: um estudo randomizado controlado

Gökçen AydınAkbuğa, Mürüvvet Başer

Downloads: 0
Views: 80

Abstract

Background
This study aimed to analyze the effects of preoperative oral intake of liquid carbohydrate on postoperative blood glucose, fasting-thirst, and fatigue levels in patients undergoing arthroscopic surgery.

Methods
This randomized controlled clinical trial enrolled 82 patients, who were scheduled to undergo arthroscopic surgery, and divided them into two groups: (1) those who consumed a carbohydrate-rich drink and (2) those not consuming anything after midnight. Pre- and postoperative fasting-thirst (visual analog scale) and blood glucose levels were measured. Likewise, the Brief Fatigue Inventory was applied to patients 24 hours after surgery.

Results
The mean blood glucose levels in the first postoperative hour were 90.90 ± 13.56 mg.dL-1 and 107.00 ± 15.84 mg.dL-1 in the intervention group and control group, respectively (p <  0.001). The postoperative mean thirst scores were 4.70 ± 1.59 and 6.36 ± 2.07 in the intervention group and control group, respectively (p <  0.001). Their corresponding postoperative mean fasting scores were 5.54 ± 1.76 and 5.86 ± 1.79 (p >  0.05) and the mean fatigue levels in the 24th postoperative hour were 4.80 ± 2.13 and 5.48 ± 1.46, respectively (p >  0.05).

Conclusions
Oral intake of liquid carbohydrate before spinal anesthesia was found to have positive effects on patients’ postoperative blood glucose and thirst levels.

Keywords

Fasting,  Thirst,  Fatigue,  Blood Glucose

References

1 G. Aksoy, N. Kanan, N. Akyolcu Surgery Nursing 1 Nobel Bookstore (2012), pp. 11-26

2 F. Erdil, N.Ö. Özhan Surgery Nursing Ankara, IV. Printing, Aydoğdu Ofset (2001), pp. 101-113

3 C. Çeliksular, A. Saraçoğlu, E. Yentür The Influence of oral carbohydrate solution intake on stress response before total hip replacement surgery during epidural and general anaesthesia Turk J Anaesthesiol Reanim., 44 (2016), pp. 117-123

4 S. Awad, K.K. Varadhan, O. Ljungqvist, et al. A meta-analysis of randomised controlled trials on preoperative oral carbohydrate treatment in elective surgery Clin Nutr., 32 (2013), pp. 34-44

5 M. Hübner, V. Addor, J. Slieker, et al. The impact of an enhanced recovery pathway on nursing workload: A retrospective cohort study Int J Surg., 24 (2015), pp. 45-50

6 İ. Demirhan, G. Pınar Enhanced recovery after surgery and nursing practicesenhanced recovery and nursing Yıldırım Beyazıt Univ Faculty Health Sci Nurs E-J., 2 (2014)

7 O.B. Bozkırlı, H.R. Gündoğdu, E.P. Ersoy, et al. ERAS protokolü kolorektal cerrahi sonuçlarımızı etkiledi mi? Turkish J Surg., 28 (2012), pp. 149-152

8 G. Yağci, M. Can Fatih, E. Özturk, et al. Effects of preoperative carbohydrate loading on glucose metabolism and gastric contents in patients undergoing moderate surgery: A randomized, controlled trial Nutrition., 24 (2008), pp. 212-216

9 American Society of Anesthesiologists “Committee practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: Application to healthy patients undergoing elective procedures report by the American Society of Anesthesiologists Committee on Standards and Practice Parameters” Anesthesiology., 114 (2011), p. 495

10 K. Zareba, M. Czygier, Z. Kamocki, et al. Parenteral Nutrition and preop preparation in prevention of post-operative insulin resistance in gastrointestinal carcinoma Adv Med Sci., 58 (2013), pp. 150-155

11 M. Soop, J. Nygren, P. Myrenfors Preoperative oral carbohydrate treatment attenuates immediate postoperative insulin resistance Am J Physiol Endocrinol Metab., 280 (2001), pp. 576-583

12 F. Özdemir, Z. Eti, P. Dinçer, et al. The Effect of preoperative oral carbohydrate loading on stress response in patients undergoing major or minor surgery Türkiye Clinics J Med Sci., 31 (2011), pp. 1392-1400

13 T.R. Mendoza, S.X. Wang, S.C. Cleeand, et al. The rapid assessment of fatigue severity ın cancer patients: use of brief fatigue inventory Cancer., 85 (1999), pp. 1186-1196

14 S. Çınar, M. Sezerli, N. Sarsmaz, et al. Hemodiyaliz akut yorgunluk sendromuna neden olabilir mi? J Nurs Forum., 3 (2000), pp. 28-33

15 J.A. Kobe Assessing Preoperative Fasting Practice Among Adult Patients At Kenyatta National Hospital, Surgical Department, Thesis (MNutr (Human Nutrition) University of Stellenbosch (2015) 101

16 H. Yıldız New approaches during preoperative poverty process AÜTD., 38 (2006), pp. 1-5

17 R.A. Azhar, B. Bochner, J. Catto, et al. Enhanced recovery after urological surgery: a contemporary systematic review of outcomes, key elements, and research needs Eur Urol., 70 (2016), pp. 176-187

18 J.T. Crenshaw Preoperative Fasting: Will the Evidence Ever Be Put into Practice? Am J Nurs., 111 (2011), pp. 38-43

19 Ö. Korkmaz Operasyon Öncesi Oral sıvı karbonhidrat Solüsyonu Alımının Stres Yanıta Etkisi, Specialization thesis Department of Anesthesiology, Istanbul University Cerrahpaşa Medical Faculty (2004) 58

20 M. Svanfeldt, A. Thorell, J. Hausel, et al. Effect of "preoperative" oral carbohydrate treatment on insulin action—a randomised cross-over unblinded study in healthy subjects Clin Nutr., 24 (2005), pp. 815-821

21 A. Gunawardhana Knowledge, attitudes and practice of preoperative fasting guidelines in the National Hospital of Sri Lanka Sri Lankan J Anaesthesiol., 20 (2012), pp. 92-95

22 J.T. Crenshaw, E.H. Winslow Preoperative fasting: old habits die hard Am J Nurs., 102 (2002), pp. 36-44

23 J. Hausel, J. Nygren, M. Lagerkranser, et al. A carbohydrate-rich drink reduces preoperative discomfort in elective surgery patients Anesth Analg., 93 (2001), pp. 1344-1350

24 E.G. Gebremedhn, V.B. Nagaratnam Audit on preoperative fasting of elective surgical patients in an african academic medical center World J Surg., 38 (2014), pp. 2200-2204

25 S. Yurtsever The fatigue in chronic illnesses and nursing care Cumhuriyet Univ J Nurs School., 4 (2000), pp. 16-20

26 S. Kaya, L. Şenturan The investigation of fatigue of the patients undergoing coronary artery by-pass graft surgery JAREN., 2 (2016), pp. 59-67

27 G.J. Rubin, R. Hardy, M. Hotopf A systematic review and meta-analysis of the incidence and severity of postoperative fatigue J Psychosom Res., 57 (2004), pp. 317-326
 

60830684a95395048d2c7543 rba Articles
Links & Downloads

Braz J Anesthesiol

Share this page
Page Sections