Efficacy of the carbohydrate drink consumption before orthopedic surgical interventions in children

Keywords: maltodextrin; carbohydrates; pediatric surgery; orthopedics; the surgical stress answer; rapid restoration after surgical intervention; children

Abstract

Objective. The impact of preoperative consumption of carbohydrate drink on metabolic indices of the stress answer towards orthopedic surgical interventions in children was determined.

Materials and methods. In the investigated group 30 children, ageing more than one year, have consumed a drink, containing 25 mg of the food carbohydrate maltodextrin on 100 ml of water, two hours before the anesthesia induction. Standard preoperative starvation was administered to 30 children of a control group. There were compared the blood plasm concentrations of glucose, insulin, cortisol, and the insulin-resistance indices together with sensitivity towards insulin as well as the ketone bodies presence in urine after the operation.

Results. Preoperatively the indices of the glucose concentration in the blood plasm in the investigated group were higher, than in a control group (p = 0.02). At the end of the operations the sensitivity to insulin indices in the investigated group were higher (p = 0.01), the indices of insulin concentration in the blood plasm - lower (p=0.008) as well as of the insulin-resistance index (p = 0.01). In a control group the insulin-resistance index have exceeded the norm in 30% of patients. Ketone bodies in urine in the investigated group were observed in 20%, while in a control one - in 50% of patients.

Conclusion. Consumption of a carbohydrate drink two hours before conduction of surgical intervention have improved a metabolic profile in children, in whom orthopedic operations were performed, and reduced the surgical stress signs.

Author Biographies

I. V. Kyselova, Shupyk National Medical Academy of Postgraduate Education, Kyiv

Kyselova Iryna V. - MD,

Department of Child Anesthesiology and Intensive Care

Shupyk National Medical Academy of Postgraduate Education

9 Dorohozhytska Str., Kyiv, 04112 Ukraine

+38 044 201 32 24

iv30@ukr.net

http://orcid.org/0000-0002-9083-8223

A. V. Biliaiev, Shupyk National Medical Academy of Postgraduate Education, Kyiv

Biliaiev Andriy V. - MD, DSci (Med), Professor,

Head of the Department of Child Anesthesiology and Intensive Care

Shupyk National Medical Academy of Postgraduate Education

9 Dorohozhytska Str., Kyiv, 04112 Ukraine

+38 044 201 32 24

criticalcare@ukr.net

http://orcid.org/0000-0003-3913-2900

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Published
2018-11-01
How to Cite
Kyselova, I. V., & Biliaiev, A. V. (2018). Efficacy of the carbohydrate drink consumption before orthopedic surgical interventions in children. Klinicheskaia Khirurgiia, 85(11), 74-77. https://doi.org/10.26779/2522-1396.2018.11.74
Section
General Problems of Surgery