相关实验视频
Updated: Jul 27, 2025

07:37
Roux-en-Y Gastric Bypass Operation in Rats
Published on: June 11, 2012
23.6K
术前碳水化合物负载对儿童术后恢复的影响:一项随机,双盲,安慰剂控制的试验
Ashleigh Laird1, Lynsey Bramley2, Richard Barnes3
1Department of Paediatrics and Surgery, School of Clinical Sciences, Monash University, 246 Clayton Road, Melbourne, Australia.
Journal of pediatric surgery
|June 6, 2023
概括
手术前的碳水化合物饮料改善了儿童的新陈代谢状态,但没有减少恶心或吐. 然而,它确实稍微缩短了白天外科手术患者的术后住院时间 (LOS).
科学领域:
- 麻醉学 麻醉学
- 儿科手术 儿科手术
- 代谢医学是一种代谢医学.
背景情况:
- 手术后恶心和吐 (PONV) 是儿童常见的并发症,往往会延长住院时间.
- 手术前的碳水化合物负载可以优化新陈代谢状态,可能减轻PONV.
- 这项研究研究了一种富含碳水化合物的饮料对儿科日间外科手术中外科期间代谢和PONV的影响.
研究的目的:
- 评估手术前的碳水化合物负载是否能改善手术前代谢状态,在接受日间外科手术的儿童中.
- 确定这种干预对术后恶心和吐的发生率的影响.
- 评估对手术后住院时间 (LOS) 的影响.
主要方法:
- 进行了一项随机,双盲,安慰剂控制的试验.
- 参与者 (4-16岁) 在手术前接受碳水化合物饮料或安慰剂.
- 在外科手术期间测量了血液中的气体,葡萄糖和水平;记录了PONV和LOS.
主要成果:
- 碳水化合物组的血糖水平较高 (p=0.01) 和水平较低 (p=0.003).
- 两组之间对恶心或吐的发生率没有显著差异 (p>0.9和p=0.8).
- 碳水化合物组的住院时间 (LOS) 减少了26分钟 (p=0.02).
结论:
- 手术前的碳水化合物负载可以稳定儿童在麻醉诱导期间的代谢状态.
- 这种干预措施并没有显著减少术后恶心和吐.
- 尽管代谢改善,但对术后的LOS的影响很小.
相关概念视频
Cardiomyopathy VII: Pre and Post Operative Nursing Management
16
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
16
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
128
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
128
Overview of Carbohydrate Metabolism
1.2K
Carbohydrate metabolism is a fundamental biochemical process that ensures a constant supply of energy to living cells. The most important carbohydrate is glucose, which can be broken down via glycolysis to enter into the Krebs cycle and eventually lead to the production of ATP through oxidative phosphorylation.
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
1.2K
Kidney Transplant II: Surgical Procedure
37
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
37
Hypoglycemia and Glucagon
306
Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...
306
Peripheral Artery Disease V: Postoperative Nursing Management
13
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
13

