ABSTRACT
Background: General anesthesia without supplemental regional anesthesia might result in elevated blood sugar levels secondary to the stress response of anesthesia and surgery. Increased levels of cortisol and catecholamines augment glucose production because of increased hepatic glycogenolysis and gluconeogenesis along with reduced peripheral utilization of glucose. Hence, there exists a high possibility that supplementing dextrose intraoperatively without regular blood sugar estimation might result in hyperglycemic episodes which can lead to osmotic diuresis, impairment of neurological outcome, and risk of hypoxic episodes under anesthesia. Aim: To compare the effect of using Ringer's lactate with or without the addition of 1% dextrose on intra-operative blood sugar levels in the pediatric age group undergoing surgeries. Methods and methods: 44 pediatric age group patients, male patients undergoing circumcision for phimosis under I.V sedation with caudal block were chosen and divided into two groups randomly into Group A and Group B. Group A received 1% dextrose RL and Group B received RL without the addition of dextrose as intra-operative maintenance fluid. Along with basic parameters like heart rate and oxygen saturation, capillary blood glucose was also measured preoperatively just before induction and after the end of procedure postoperatively. Results: Preoperative and post-operative blood sugar values were compared. No significant hypoglycemia was developed in patients who had received only RL. And patients who received 1% Dextrose RL as intra-operative fluid had not developed significant hyperglycemia. Arivuselvan K, Nalani, Naheed Azhar. To study the effect of using ringer’s lactate with or without addition of dextrose on intra-operative blood sugar levels in Pediatric age group undergoing surgeries. IAIM, 2019; 6(5): 87-91. Page 88 Conclusion: Even with patients received only RL without dextrose as intraoperative fluid there is no significant hypoglycemia. So, the addition of dextrose is not mandatory in patients undergoing short surgeries provided their preoperative sugar level is not less than 80 mg/dl.