The effects of different hydration fluids used in pediatric anaesthesia on blood glucose, electrolytes and cardiovascular stability Pediatrik anesthezide kullanilan farkli hidrasyon sivilarinin kan glukozu, elektrolitleri ve hemodinamik dengeye etkileri
Bulletin of Gulhane Military Medical Academy, cilt.39, sa.2, ss.146-152, 1997 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 39 Sayı: 2
- Basım Tarihi: 1997
- Dergi Adı: Bulletin of Gulhane Military Medical Academy
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.146-152
- Anahtar Kelimeler: cardiovascular stability, electrolytes, pediatric anaesthesia
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
The aim of the study was, to determine the ideal fluid for replacement and management in pediatric cases which will provide the cardiovasculary stability and manage the serum electrolytes and blood glucose level in physiological ranges intraoperatively and postoperatively. This study has been perfomed in 60 cases of ASA I between the ages of 1 to 12 undergoing elective minor surgery. In group I cases (n = 20) Ringer lactate (RL), group II (n = 20) 1% dextrose in Renger lactate (RLD) and group III 3.3% dextrose in 0.3% sodium chloride (DNaCl) were administrated intravenously according to age and weight suggested by Berry. Hypoglycemia due to the prevention of food and fluid wasn't observed in anyone of the cases in all study groups (<50 mg/dl). In all of the three groups, the fluids suggested by Berry for replacement and management have been found to be sufficient for intravascular volume and managed cardiovascular stability. In group I (RL) and group II (RLD) serum electrolytes and blood glucose levels have been managed in physiological ranges intraoperatively and postoperatively. On the other hand, in group III (DNaCl) simultaneously, blood glucose levels have been significantly increased but, serum sodium levels have been significantly decreased postoperatively. As a result, it has been concluded that, Ringer lactate solutions containing 1% dextrose or pure Ringer lactate regimes suggested by Berry capable to be sufficient to provide these properties are well to manage the fluid replacement loss.