TY - JOUR
T1 - Preanesthesia carbohydrate loading in pediatric patients with acyanotic congenital heart disease
T2 - a case series
AU - Kurnia, Andri
AU - Hidayat, Jefferson
N1 - Funding Information:
The authors would like to thank all the patients who participated in this study and their parents. Gratitude is also due to the catheterization laboratory staff of the Jakarta Heart Centre Hospital, as well as Jonathan Wiradinata, MD and Henry Reinaldo, MD who have provided useful suggestions for this article.
Publisher Copyright:
© 2023 Faculty of Anaesthesia, Pain and Intensive Care, AFMS. All rights reserved.
PY - 2023/8/1
Y1 - 2023/8/1
N2 - Children with acyanotic congenital heart disease need cardiac catheterization for various indications, ranging from diagnostic procedures to innovative interventional therapy. Although preanesthesia fasting is widely accepted to minimize the risk of regurgitation and aspiration during induction, studies have shown that fasting also has a negative impact. Some studies have reported the incidence of anxiety in pediatric patients in the operating room to be 75.44% and 34–56% of it was caused by hunger. We report 4 of our patients, who were allowed maltodextrin drinks as much as 5–10 ml/kg 2 h before anesthesia and the patient's anxiety level, vital signs, blood sugar before and during the procedure, and the incidence of complications were observed. The results showed a low level of anxiety, with good vital signs, and normal blood sugar. Carbohydrate drinks given up to 2 h before the procedure to the patients reduced hunger and thirst so that they were more comfortable, had reduced anxiety and stable blood sugar levels during the procedure. No complications were found due to the administration of carbohydrate drinks; therefore, routine administration of carbohydrate drinks can be considered in pediatric patients with acyanotic congenital heart disease who will undergo cardiac catheterization.
AB - Children with acyanotic congenital heart disease need cardiac catheterization for various indications, ranging from diagnostic procedures to innovative interventional therapy. Although preanesthesia fasting is widely accepted to minimize the risk of regurgitation and aspiration during induction, studies have shown that fasting also has a negative impact. Some studies have reported the incidence of anxiety in pediatric patients in the operating room to be 75.44% and 34–56% of it was caused by hunger. We report 4 of our patients, who were allowed maltodextrin drinks as much as 5–10 ml/kg 2 h before anesthesia and the patient's anxiety level, vital signs, blood sugar before and during the procedure, and the incidence of complications were observed. The results showed a low level of anxiety, with good vital signs, and normal blood sugar. Carbohydrate drinks given up to 2 h before the procedure to the patients reduced hunger and thirst so that they were more comfortable, had reduced anxiety and stable blood sugar levels during the procedure. No complications were found due to the administration of carbohydrate drinks; therefore, routine administration of carbohydrate drinks can be considered in pediatric patients with acyanotic congenital heart disease who will undergo cardiac catheterization.
KW - Anxiety
KW - Carbohydrate loading
KW - Congenital heart disease
KW - Pediatric
UR - http://www.scopus.com/inward/record.url?scp=85167795847&partnerID=8YFLogxK
U2 - 10.35975/apic.v27i4.2156
DO - 10.35975/apic.v27i4.2156
M3 - Article
AN - SCOPUS:85167795847
SN - 1607-8322
VL - 27
SP - 585
EP - 589
JO - Anaesthesia, Pain and Intensive Care
JF - Anaesthesia, Pain and Intensive Care
IS - 4
ER -