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Impact of preoperative carbohydrate loading on gastric volume in patients with type 2 diabetes

World Journal of Clinical Cases 2022年第18期10卷 6082-6090页

作者： Xin-Qiang Lin Yu-Ren Chen Xiao Chen Yu-Ping Cai Jian-Xin Lin De-Ming Xu Xiao-Chun Zheng Department of Anesthesiology Affiliated Hospital of Putian CollegePutian Maternity and Child Care HospitalPutian 351100Fujian ProvinceChina Department of Anesthesiology Affiliated Hospital of Putian CollegePutian 351100Fujian ProvinceChina Department of Anesthesiology Shenli Clinical Medical College of Fujian Medical UniversityFujian Provincial HospitalFuzhou 350001Fujian ProvinceChina

BACKGROUND Enhanced recovery after surgery advocates that consuming carbohydrates two hours before anesthesia is beneficial to the patient’s *** with diabetes are prone to delayed gastric *** guidelines for preoperative carbohydrate consumption in patients with diabetes remain controversial due to concerns about the risk of regurgitation,aspiration and *** gastric volume(GV)assessment and blood glucose monitoring can comprehensively evaluate the safety and feasibility of preoperative carbohydrate intake in type 2 diabetes(T2 D)*** To evaluate the impact of preoperative carbohydrate loading on GV before anesthesia induction in T2 D *** Patients with T2 D receiving surgery under general anesthesia from December 2019 to December 2020 were included.A total of 78 patients were randomly allocated to 4 groups receiving 0,100,200,or 300 m L of carbohydrate loading 2 h before anesthesia *** volume per unit weight(GV/W),Perlas grade,changes in blood glucose level,and risk of reflux and aspiration were evaluated before anesthesia *** No significant difference was found in GV/W among the groups before anesthesia induction(P>0.05).The number of patients with Perlas grade II and GV/W>1.5 m L/kg did not differ among the groups(P>0.05).Blood glucose level increased by>2 mmol/L in patients receiving 300 m L carbohydrate drink,which was significantly higher than that in groups 1 and 2(Pcarbohydrate loadingcarbohydrate loading ofcarbohydrate loading may increase blood glucose levels in patients with T2 D before induction of anesthesia.

关键词： Type 2 diabetes Preoperative carbohydrate loading Gastric volume Ultrasound assessment Hyperglycemia

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