ẢNH HƯỞNG CỦA UỐNG DUNG DỊCH CARBOHYDRATE TRƯỚC GÂY MÊ CHO TRẺ EM ĐƯỢC PHẪU THUẬT KHE HỞ MÔI VÒM

Abstract

Fasting from food and liquids overnight before surgery to avoid pulmonary aspiration complications during anesthesia can cause discomfort for patients, especially children. However, this causes discomfort for patients, especially children. Currently, the Enhanced Recovery After Surgery (ERAS) program has affirmed that prolonged fasting is not beneficial, and fasting liquids for more than 2 hours before surgery is safe, especially for children. In early 2024, the Ministry of Health also issued guidelines on preoperative fasting for both adults and children, with fluid fasting only required two hours before anesthesia. Objective: We conducted a study on 50 pediatric patients indicated for cleft lip and palate surgery who were given a 12.5% carbohydrate solution to evaluatethe rate of the acceptance rate of the solution, aspiration post-anesthesia, a dangerous complication for children, and the incidence of postoperative nausea and vomiting. Methods: All eligible children, based on inclusion and exclusion criteria, were given a maltrodextrin 12.5% carbohydrate solution as needed, up to 2 hours before anesthesia. Results: The study showed that the solution acceptance rate was 100%, with a nausea rate of 4%, and no cases of postoperative vomiting or aspiration after anesthesia. Conclusion: The use of a 12.5% carbohydrate solution two hours before anesthesia is safe with a high solution acceptance rate, low nausea rate, with no recorded cases of aspiration post anesthesia.