Comparing oral DW5% versus IV 1/3,2/3 serum infusion during preoperative time on blood sugar level of 2-6 year pediatric patients at the beginning of the minor surgeries

Hypoglycemia is one of the most important possible side effects of fasting in children who need surgery, and its prevention is very important. This study was conducted in order to investigate and compare the oral administration of 5% dextrose and intravenous infusion of 1.3, 2.3 sugar-salt serum on the blood sugar levels of 6-2-year-old children who were candidates for minor surgery under general anesthesia.

In this randomized clinical trial study, 66 children aged 2-6 years who were candidates for minor surgery under general anesthesia at Hazrat Ali Asghar Hospital in Tehran were selected as available and randomly selected in one of two The group under oral administration of 5% dextrose (intervention group) at the rate of 10 cc/kg 2 hours before the operation or continuous intravenous injection of 1.3, 2.3 sugar saline serum (control group) according to the formula 4, 2, 1 direction Calculation of the volume of venous fluids were divided while fasting, and their blood sugar levels were measured and compared on two occasions (immediately after induction of anesthesia and then half an hour later).

In this study, the average blood sugar immediately after induction of anesthesia was 88.75 in the group receiving oral dextrose and 85.77 in the group receiving saline serum, and there was no significant difference between the two groups (P=0.554), but the average blood sugar half an hour later of induction of anesthesia was 79.75 in the group receiving oral dextrose and 64.84 in the group receiving intravenous sugar-salt serum, which was significantly higher (P=0.36).

 based on the results obtained in this study, it is concluded that the oral administration of 5% dextrose has an equivalent role to the intravenous infusion of sugar-saline serum in preventing the occurrence of hypoglycemia in 2-6 year old children who are candidates for surgery. It can be used as a suitable alternative to intravenous serum in children.