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AIM:To investigate whether children should undergo surgery without a long period of fasting after feeding.METHODS:Eighty children with inguinoscrotal disorders(aged 1-10 years) were studied prospectively.They were divided into eight groups that each contained 10 children who were fed normal liquid food(NLF) and a high-calorie diet(HCD) 2,3,4 and 5 h before surgery,in two doses at 6-h intervals.NLF was given to four groups and HCD to the other four.In all groups,glucose,prealbumin and cortisol levels in the blood were measured twice:just after oral feeding and just before the operation.After the establishment of adequate anesthesia,gastric residue liquid was measured with a syringe.RESULTS:Blood glucose levels in all patients fed NLF and HCD were high,except in patients in the HCD-4 group.There was no signifi cant difference in the blood prealbumin levels.There was a significant increase in the blood cortisol levels in the NLF-2(14.4±5.7),HCD-2(13.2±6.0),NLF-3(10.9±6.4),and HCD-5(6.8±5.7) groups(P<0.05).CONCLUSION:The stress of surgery may be tolerated by children when they are fed up to 2 h before elective surgery.
Aiming to investigate whether children should undergo surgery without a long period of fasting after feeding. METHODS: Eighty children with inguinoscrotal disorders (aged 1-10 years) were studied prospectively. They were divided into eight groups that each contained 10 children who were fed normal liquid food (NLF) and a high-calorie diet (HCD) 2,3,4 and 5 h before surgery, in two doses at 6-h intervals. NFL was given to four groups and HCD to the other four. all groups, glucose, prealbumin and cortisol levels in the blood were measured twice: just after oral feeding and just before the operation. After the establishment of adequate anesthesia, gastric residue liquid was measured with a syringe. NLF and HCD were high, except in patients in the HCD-4 group. There was no signifi cant difference in the blood prealbumin levels. There was a significant increase in the blood cortisol levels in the NLF-2 (14.4 ± 5.7), HCD -2 (13.2 ± 6.0), NLF-3 (10.9 ± 6.4), and HCD-5 (6.8 ± 5.7) groups (P <0.05). CONCLUSION: The stress of surgery may be tolerated by children when they are fed up to 2 h before elective surgery.