Comparison of Dextrose Water and Hartmann's Solution in Each Low and High Doses for Adult Ambulatory Anesthesia: Effect on Recovery from Anesthesia.
10.4097/kjae.2007.52.1.55
- Author:
Young Hee SHIN
1
;
Hyun Joo AHN
;
Soo Joo CHOI
;
Won Hung LEE
;
Byung Dal LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. hjahn@smc.samsung.co.kr
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
ambulatory anesthesia;
dextrose water;
fluid;
Hartmann's solution
- MeSH:
Adult*;
Anesthesia*;
Anesthesia, General;
Diuresis;
Dizziness;
Fatigue;
Glucose*;
Headache;
Humans;
Hyperglycemia;
Hypoglycemia;
Nausea;
Pharyngitis;
Recovery Room;
Sensation;
Sleep Stages;
Vomiting;
Water*;
Weights and Measures
- From:Korean Journal of Anesthesiology
2007;52(1):55-61
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Adequate fluid administration for ambulatory anesthesia has not been widely studied because most patients are healthy and operations are short durations and not invasive. However, long pre-operative nothing per os (NPO) time is known to affect post-operative complications like pain, headache, dizziness, drowsiness, fatigue, nausea, vomiting, thirsty, sore throat, or well-being sensation. And amount of administered fluid or inclusion of dextrose during the operation could exercise great influence on those symptoms. Therefore, we compared four fluid regimens; 5% dextrose water 2 ml/kg (D/W2), 20 ml/kg (D/W20) and Hartmann's solution 2 ml/kg (H/S2), 20 ml/kg (H/S20) regarding to post-operative complications of ambulatory anesthesia. METHODS: One hundred and sixty ambulatory anesthesia patients of ASA 1 or 2 undergoing general anesthesia or monitored anesthesia care were randomly assigned into D/W2, D/W20, H/S2 or H/S20. Each group of patients received 5% dextrose water 2 ml/kg, 20 ml/kg, Hartmann's solution 2 ml/kg, or 20 ml/kg for 30 min, respectively. Complications like pain, headache, dizziness, drowsiness, fatigue, nausea, vomiting, thirsty, sore throat, or well-being sensation of patients were checked with systemized questionnaire check box graded 4 scales at recovery room, at evening and at 24 hours later. RESULTS: H/S20 group was better in nausea, thirsty and well-being sensation. Sixteen percent of patients showed hypoglycemia before anesthesia. Dextrose water resulted transient hyperglycemia and osmotic diuresis. CONCLUSIONS: Large amount of Hartmann's solution was generally better regarding post-operative complications. We should pay attention at peri-operative hypoglycemia for ambulatory anesthesia.
