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

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