Impact of preoperative fasting times on blood glucose concentration, ketone bodies and acid–base balance in children younger than 36 months A prospective observational study

European Journal of Anaesthesiology

Volumn 32, Issue 12, 2015, Pages 857-861

  Dennhardt, Nils ^a   Beck, Christiane ^a   Huber, Dirk ^a   Nickel, Katja ^a   Sander, Björn ^a   Witt, Lars Henrik ^a   Boethig, Dietmar ^b   Sümpelmann, Robert ^a  

^a Clinic for Anesthesiology and Intensive Care Medicine   (Germany)

^b HANNOVER MEDICAL SCHOOL   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

BICARBONATE; CHLORIDE; HEMOGLOBIN; KETONE BODY; LACTIC ACID; POTASSIUM; SODIUM; GLUCOSE BLOOD LEVEL;

ACID BASE BALANCE; ALKALOSIS; AMERICAN SOCIETY OF ANAESTHESIOLOGISTS SCORE; ANESTHESIA INDUCTION; ANION GAP; ARTERIAL PRESSURE; ARTICLE; BLOOD OXYGEN TENSION; BLOOD PH; BODY WEIGHT; CARBON DIOXIDE TENSION; CHILD; DEMOGRAPHICS; ELECTIVE SURGERY; ELECTROCARDIOGRAM; END TIDAL CARBON DIOXIDE TENSION; FASTING; FEMALE; GLUCOSE BLOOD LEVEL; HEMATOCRIT; HEMODYNAMICS; HUMAN; INFANT; LINEAR REGRESSION ANALYSIS; MAJOR CLINICAL STUDY; MALE; MEAN ARTERIAL PRESSURE; NEWBORN; OBSERVATIONAL STUDY; OSMOLALITY; OXYGEN SATURATION; PEDIATRIC SURGERY; PREOPERATIVE EVALUATION; PROSPECTIVE STUDY; PULSE OXIMETRY; SYSTOLIC BLOOD PRESSURE; BLOOD; CLINICAL TRIAL; DIET RESTRICTION; KETOSIS; METABOLISM; PHYSIOLOGY; PREOPERATIVE CARE; PRESCHOOL CHILD; PROCEDURES;

ACID-BASE EQUILIBRIUM; BLOOD GLUCOSE; CHILD, PRESCHOOL; ELECTIVE SURGICAL PROCEDURES; FASTING; FEMALE; HUMANS; INFANT; INFANT, NEWBORN; KETONE BODIES; KETOSIS; MALE; PREOPERATIVE CARE; PROSPECTIVE STUDIES;

EID: 84982131022     PISSN: 02650215     EISSN: 13652346     Source Type: Journal    
DOI: 10.1097/EJA.0000000000000330     Document Type: Article

References (23)

1. American Society of Anesthesiologists Committee. Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures: an updated report by the American Society of Anaesthesiologist Committee on Standards and Practice Parameters. Anesthesiology 2011; 114:495–511.
2. Smith I, Kranke P, Murat I, et al. Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology. Eur J Anaesthesiol 2011; 28:556–569.
3. Engelhardt T, Wilson G, Horne L, et al. Are you hungry? Are you thirsty? Fasting times in elective outpatient pediatric patients. Paediatr Anaesth 2011; 21:964–968.
4. Williams C, Johnson A, Guzzetta CE, et al. Pediatric fasting times before surgical and radiologic procedures: benchmarking institutional practises against national standards. J Pediatr Nurse 2014; 29:258–267.
5. Walker RW. Pulmonary aspiration in pediatric anesthetic practice in the UK: a prospective survey of specialist pediatric centers over a one-year period. Paediatr Anaesth 2013; 23:702–711.
6. Borland LM, Sereika SM, Woelfel SK, et al. Pulmonary aspiration in pediatric patients during general anaesthesia: incidence and outcome. J Clin Anesth 1998; 10:95–102.
7. Warner MA, Warner ME, Warner DO, et al. Perioperative pulmonary aspiration in infants and children. Anesthesiology 1999; 90:66–71.
8. Murat I, Constant I, Maud‘huy H. Perioperative anaesthetic morbidity in children: a database of 24,165 anaesthetics over a 30-month period. Paediatr Anaesth 2004; 14:158–166.
9. Weiss M, Frei M, Buehrer S, et al. Deep propofol sedation for vacuum-assisted bite-block immobilization in children undergoing proton radiation therapy of cranial tumors. Paediatr Anaesth 2007; 17:867–873.
10. Cook-Sather SD, Litman RS. Modern fasting guidelines in children. Best Pract Res Clin Anaesthesiol 2006; 20:471–481.
11. Schmidt AR, Buehler P, Seglias L, et al. Gastric pH and residual volume after 1 vs 2h fasting time for clear fluids in children. Brit J Anaesth 2015; 114:477–482.
12. Schmitz A, Kellenberger CJ, Liamlahi R, et al. Residual gastric contents volume does not differ following 4 or 6h fasting after a light breakfast – a magnetic resonance imaging investigation in healthy nonanaesthetised school-age children. Acta Anaesthesiol Scand 2012; 56:589–594.
13. Schmitz A, Kellenberger CJ, Neuhaus D, et al. Fasting times and gastric contents volume in children undergoing deep propofol sedation – an assessment using magnetic resonance imaging. Paediatr Anaesth 2011; 21:685–690.
14. Muslim Y, Engin G, Tahir K, Abdullah S. Effects of fasting and preoperative feeding in children. World J Gastroenter 2009; 15:4919–4922.
15. Friesen RH, Wurl JL, Friesen RM. Duration of preoperative fast correlates with arterial blood pressure response to halothane in infants. Anesth Analg 2002; 95:1572–1576.
16. Maekawa N, Mikawa K, Yaku H, et al. Effects of 2-, 4- and 12-h fasting intervals on preoperative gastric fluid pH and volume, and plasma glucose and lipid homeostasis in children. Acta Anaesthesiol Scand 1993; 37:783–787.
17. Nilsson K, Larsson LE, Andreasson S, Ekstrom-Jodal B. Blood glucose concentration during anaesthesia in children. Br J Anaesth 1984; 56:375–379.
18. Jensen BH, Wernberg M, Andersen M. Preoperative starvation and blood glucose concentrations in children undergoing inpatient and outpatient anaesthesia. Br J Anaesth 1982; 54:1071–1074.
19. van Veen MR, van Hasselt PM, de Sain-van der Velden MG, et al. Metabolic profiles in children during fasting. Pediatrics 2011; 127:e1021–e1027.
20. Kehlet H. Fast-track surgery – an update on physiological care principles to enhance recovery. Langenbecks Arch Surg 2011; 396:585–590.
21. Ham MR, Okada P, White PC. Bedside ketone determination in diabetic children with hyperglycemia and ketosis in the acute care setting. Pediatr Diabetes 2004; 5:39–43.
22. Sümpelmann R, Mader T, Eich C, et al. A novel isotonic-balanced electrolyte solution with 1% glucose for intraoperative fluid therapy in children: results of a prospective multicentre observational postauthorization safety study (PASS). Paediatr Anaesth 2010; 20:977–981.
23. Witt L, Osthaus WA, Lücke T, et al. Safety of glucose-containing solutions during accidental hyperinfusion in piglets. Br J Anaesth 2010; 105:635–639.