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

Perioperative Hypothermia Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06428604
• Other study ID #: 2019/64
• Status: Completed
• Start date: March 1, 2019
• Est. completion date: July 31, 2019

Study information

• Verified date: May 2024
• Source: Basaksehir Çam & Sakura City Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial 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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 2
• Est. completion date: July 31, 2019
• Est. primary completion date: July 31, 2019
• Gender: All
• Age group: 2 Years to 15 Years

Eligibility

Inclusion Criteria:

1. Patients to be operated on by the Department of Pediatric Surgery

2. Being between the ages of 2 and 15

3. Not restricting oral intake

4. ASA I-II-III patients in anesthesia risk score

5. Patients operated between 01.03.2019 and 31.07.2019

6. Not having any communication problems (mental retardation, not knowing Turkish, etc.)

7. Not having gastroesophageal reflux

8. Not having any muscle disease

9. Informed volunteer consent must be obtained

10. Patients for whom emergency surgery is not planned

11. No disease related to the central nervous system

Exclusion Criteria:

1. Pediatric patients outside the 2-15 age range

2. Having limited oral intake

3. ASA IV and above in anesthesia risk scoring

4. Patients operated before 01.03.2019 or after 31.07.2019

5. Patients who may have communication problems with their parents or themselves

6. Patients with gastroesophageal reflux

7. Patients with muscle disease

8. Patients for whom informed voluntary consent has not been obtained

9. Patients who will undergo emergency surgery

10. Patients with diseases related to the central nervous system

Related Conditions & MeSH terms

• Hypothermia
• Perioperative Hypothermia

Locations

Country	Name	City	State
Turkey	Basaksehir Çam and Sakura City Hospital	Istanbul

Sponsors (1)

Lead Sponsor	Collaborator
Basaksehir Çam & Sakura City Hospital

Country where clinical trial is conducted

Turkey, 

References & Publications (5)

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. — View Citation

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. — View Citation

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. — View Citation

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. — View Citation

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. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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