Evaluation of the safety and tolerance of oral 25 % maltodextrin as a carbohydrate drink during preoperative fasting in children

Authors

  • Iryna Kyselova Shupyk National Medical Academy of Postgraduate Education Dorohozhytska str., 9, Kyiv, Ukraine, 04112, Ukraine
  • Andriy Biliaiev Shupyk National Medical Academy of Postgraduate Education Dorohozhytska str., 9, Kyiv, Ukraine, 04112, Ukraine https://orcid.org/0000-0003-3913-2900
  • Iryna Potebnya Kyiv Municipal Childrens Hospital No.1 Bogatyrska str., 30, Kyiv, Ukraine, 04209, Ukraine https://orcid.org/0000-0002-8197-9729

DOI:

https://doi.org/10.15587/2519-4798.2018.147730

Keywords:

preoperative fasting in children, maltodextrin, carbohydrate drink, paediatric surgery, paediatric anaesthesia

Abstract

The aim of the study was to estimate safety and tolerance of oral 25 % maltodextrin 5 ml/kg two hours before induction of anaesthesia in children.

Methods: sixty patients 2–17 years old scheduled for orthopaedic surgery were divided into two groups. Patients in group “M” received 5 ml/kg of 25 % maltodextrin as a carbohydrate drink two hours before the surgery. Patients in group “K” were fasted according to current recommendation for preoperative fasting. A present of the gastric content before induction and its volume and pH after induction was evaluated. Cases of bronchial aspiration were registered. In group “M” tolerance of preoperative oral 25 % maltodextrin was estimated.

Results: the gastric content defined seldom by ultrasound examination before induction in both groups. Volume of gastric content from gastric tube after induction was comparable (0.4±0.28 ml/kg in group “M” vs. 0.5±0.44 ml/kg in group “K”, p=0.68), but pH of gastric content was significantly higher in group “M” (2.86±0.99 vs. 2.10±0.9, р<0.001). We did not register any cases of bronchial aspiration nor patient’s complaints after preoperative administering of 25 % maltodextrin. Children drank a carbohydrate drink for 1 (63 %) or 2 (37 %) ingestions.

Conclusions: the oral administration of 25 % maltodextrin two hours before induction of anaesthesia is well tolerated and does not lead to the risk of aspiration complications in children. Using of 25 % instead of 12.5 % solution of maltodextrin allows choosing the optimal volume for a child with saving energy value of a carbohydrate drink

Author Biographies

Iryna Kyselova, Shupyk National Medical Academy of Postgraduate Education Dorohozhytska str., 9, Kyiv, Ukraine, 04112

Assistant

Department of Child Anesthesiology and Intensive Care

Andriy Biliaiev, Shupyk National Medical Academy of Postgraduate Education Dorohozhytska str., 9, Kyiv, Ukraine, 04112

MD, Professor, Head of Department

Department of Child Anesthesiology and Intensive Care

Iryna Potebnya, Kyiv Municipal Childrens Hospital No.1 Bogatyrska str., 30, Kyiv, Ukraine, 04209

Head of Department

Department of Radiology

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Published

2018-11-27

How to Cite

Kyselova, I., Biliaiev, A., & Potebnya, I. (2018). Evaluation of the safety and tolerance of oral 25 % maltodextrin as a carbohydrate drink during preoperative fasting in children. ScienceRise: Medical Science, (7 (27), 8–13. https://doi.org/10.15587/2519-4798.2018.147730

Issue

No. 7 (27) (2018)

Section

Medical Science

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Copyright (c) 2018 Iryna Kyselova, Andriy Biliaiev, Iryna Potebnya

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