The effect of taking Preoperative oral clear water 2 hours before surgery on anesthesia induction and postoperative nausea and vomiting during pediatric interventional heart surgery
10.3969/j.issn.1006-5725.2017.03.029
- VernacularTitle:术前2小时口服清饮对小儿心脏介入手术全麻诱导及术后恶心呕吐的影响
- Author:
Weizhong HE
;
Xin ZHANG
;
Gang QIAN
;
Xiaoqiang YAN
;
Hongling MIAO
- Keywords:
No drinking before surgery;
Anesthesia induction;
PONV
- From:
The Journal of Practical Medicine
2017;33(3):440-442
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of different forbidden drink schemes on anesthesia induction and postoperative nausea and vomiting during pediatric interventional heart surgery.Methods One hundred and twenty pediatric patients underwent cardiac interventional procedures under general anesthesia were randomized into group A,B and C,with 40 patients in each group.Patients in cach group were fasted for 8 h preoperatively.Water was prohibited for patients in group A for 6 h preoperatively.Patients in groups B and C orally took 10% glucose solution and a multivitamin drink (Outfast) at 2 h preoperatively,respectively.Nausea and vomiting after anesthesia induction were recorded for 24 h postoperatively.Results The sedation and mask acceptance scores were significantly higher in group B and C than those in group A,and were significantly higher in group C than those in group B (P < 0.05,resoectively).Following anesthesia induction,MAP was significantly higher in group B and C than that in group A (P < 0.05,resoectively).Both the severity and incidence of postoperative nausea and vomiting were higher in group B and C than those in group A,and was lower in group C than that in group B (P < 0.05,resoectively).Conclusions Taking clear water orally 2 hours before surgery can decrease the restlessness of pediatric interventional heart surgery during anesthesia induction period,with stable smooth hemodynamics,reducing the degree of PONV.