The Effect of Preoperative Oral Carbohydrate Administration on Perioperative Hypothermia in Pediatric Patients

NCT06428604 | Completed

• 1 other identifier: 2019/64
• Study Type: observational
• Target: 2
• Locations: 1 country
• Sites: 1

Brief Summary

Hypothermia that may develop in the perioperative period is associated with many adverse clinical outcomes. In particular, pediatric patients were more susceptible to hypothermia and related complications such as respiratory distress, metabolic acidosis, hypoglycemia, hypoxemia, cardiac disorders, coagulopathy, and wound infection than adults. In this study, the effect of preoperative carbohydrate-rich feeding on temperature regulation in pediatric patients was investigated.

Conditions

Perioperative Hypothermia

Outcome Measures

Primary Outcomes (1)

• the effect of oral clear liquid intake containing carbohydrates 3 hours before preoperatively on body temperature in the pediatric age group, compared to the group taking water 3 hours before surgery.

  In order to benefit from the thermic effects of nutrients, intravenous or oral administration of nutrients before or during the operation has been used. These include administering amino acid solutions and administering carbohydrate solutions Providing essential nutrients increases metabolic heat production, reducing the inequality between heat production and loss. The primary goal of this approach is to increase energy expenditure following the administration of essential nutrients, causing a response known as diet-induced thermogenesis. The body temperatures of the patients were measured perioperative with a tympanic thermometer at regular intervals. Values lower than 36.0oC were considered as hypothermia.

  1 March 2019- 31 july 2019

Study Arms (2)

GRUP W

patient group given only 5 ml kg-1 oral water 3 hours before the surgery,

GRUP C

Patient group given 5 ml kg-1 clear carbohydrate-rich liquid orally 3 hours before surgery

Eligibility Criteria

• Age: 2 Years - 15 Years
• Sex: all
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

Being between the ages of 2 and 15

You may qualify if:

• Patients to be operated on by the Department of Pediatric Surgery
• Being between the ages of 2 and 15
• Not restricting oral intake
• ASA I-II-III patients in anesthesia risk score
• Patients operated between 01.03.2019 and 31.07.2019
• Not having any communication problems (mental retardation, not knowing Turkish, etc.)
• Not having gastroesophageal reflux
• Not having any muscle disease
• Informed volunteer consent must be obtained
• Patients for whom emergency surgery is not planned
• No disease related to the central nervous system

You may not qualify if:

• Pediatric patients outside the 2-15 age range
• Having limited oral intake
• ASA IV and above in anesthesia risk scoring
• Patients operated before 01.03.2019 or after 31.07.2019
• Patients who may have communication problems with their parents or themselves
• Patients with gastroesophageal reflux
• Patients with muscle disease
• Patients for whom informed voluntary consent has not been obtained
• Patients who will undergo emergency surgery
• Patients with diseases related to the central nervous system

Sponsors & Collaborators

• Başakşehir Çam & Sakura City Hospital: lead

Study Sites (1)

Başakşehir Çam and Sakura City Hospital

Istanbul, Turkey (Türkiye)

Location

Related Publications (5)

• Yatabe T, Kawano T, Yamashita K, Yokoyama M. Preoperative carbohydrate-rich beverage reduces hypothermia during general anesthesia in rats. J Anesth. 2011 Aug;25(4):558-62. doi: 10.1007/s00540-011-1170-z. Epub 2011 May 24.

  PMID: 21607766 BACKGROUND

• Dilmen OK, Yentur E, Tunali Y, Balci H, Bahar M. Does preoperative oral carbohydrate treatment reduce the postoperative surgical stress response in lumbar disc surgery? Clin Neurol Neurosurg. 2017 Feb;153:82-86. doi: 10.1016/j.clineuro.2016.12.016. Epub 2016 Dec 29.

  PMID: 28073036 BACKGROUND

• Castillo-Zamora C, Castillo-Peralta LA, Nava-Ocampo AA. Randomized trial comparing overnight preoperative fasting period Vs oral administration of apple juice at 06:00-06:30 am in pediatric orthopedic surgical patients. Paediatr Anaesth. 2005 Aug;15(8):638-42. doi: 10.1111/j.1460-9592.2005.01517.x.

  PMID: 16033337 BACKGROUND

• Carvalho CALB, Carvalho AA, Nogueira PLB, Aguilar-Nascimento JE. CHANGING PARADIGMS IN PREOPERATIVE FASTING: RESULTS OF A JOINT EFFORT IN PEDIATRIC SURGERY. Arq Bras Cir Dig. 2017 Jan-Mar;30(1):7-10. doi: 10.1590/0102-6720201700010003.

  PMID: 28489159 BACKGROUND

• Ozer AB, Demirel I, Kavak BS, Gurbuz O, Unlu S, Bayar MK, Erhan OL. Effects of preoperative oral carbohydrate solution intake on thermoregulation. Med Sci Monit. 2013 Jul 31;19:625-30. doi: 10.12659/MSM.883991.

  PMID: 23900128 BACKGROUND

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Day
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: anesthesiologist

Study Record Dates

• First Submitted: May 15, 2024
• First Posted: May 24, 2024
• Study Start: March 1, 2019
• Primary Completion: July 31, 2019
• Study Completion: July 31, 2019
• Last Updated: May 24, 2024

Record last verified: 2024-05

Locations

TU (1)