Preanaesthetic evaluation of fasting blood sugar level in pediatric patients. (Record no. 488)

MARC details
000 -LEADER
fixed length control field 02342 a2200229 4500
003 - CONTROL NUMBER IDENTIFIER
control field OSt
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20220906184543.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 190131b ||||| |||| 00| 0 eng d
060 ## - NATIONAL LIBRARY OF MEDICINE CALL NUMBER
Classification number THS00036
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Maharjan, Shyam Krishna.
9 (RLIN) 1620
245 ## - TITLE STATEMENT
Title Preanaesthetic evaluation of fasting blood sugar level in pediatric patients.
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. c2000.
300 ## - PHYSICAL DESCRIPTION
Extent 78p.
500 ## - GENERAL NOTE
General note Thesis Report.
520 ## - SUMMARY, ETC.
Summary, etc. ABSTRACT: This is a prospective observational study on 'pre-anesthetic evaluation of fasting blood sugar level in pediatric patients' conducted in Kanti Children's hospital in 14 days to 14 years of age with ASA grades I and II. The objective of study was to see the effect of different fasting hours, different age groups and type of last feed on blood glucose concentration. Patients were randomly selected in both day case surgeries and inpatient surgeries with most of them fasted as traditional rule and some were given clear fluid (glucose water) 2-4 hours before induction of anesthesia. Capillary blood sugar estimation was done with glucometer and anesthesia was continued according to standard practice and any complications in peri-operative period were noted upto 24 hours. As in other studies, it is found that there was no significant difference in fasting blood sugar level in different age group i.e. 14 days to 14 years of age, different weight group and with type of last feed given. But there was inverse relation with fasting hours, longer the fasting hours, lower the blood sugar concentration. Incidence of hypoglycemia was 5.6 % according to definition 'fasting blood sugar less than 40 mg/dl' as all children were more than 3 days old. All hypoglycemic children were more than one year old except one and with more than 6 hours of fasting. Most of the infants and neonates were not hypoglycemic even after hours of fasting, but the sample size was small to make relevant conclusion. Shorter fasting hours (2-4 hours) had no immediate effects in intra-operative period and post anesthesia care unit but incidence of postoperative vomiting was same as in longer fasted groups.
546 ## - LANGUAGE NOTE
Language note Eng.
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Preanaesthetic.
9 (RLIN) 1657
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Fasting blood sugar.
9 (RLIN) 1658
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Pediatric patients.
9 (RLIN) 1659
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://nhrc.gov.np/contact/">http://nhrc.gov.np/contact/</a>
Link text Visit NHRC Library
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme National Library of Medicine
Koha item type Thesis Report
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Home library Current library Shelving location Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
    National Library of Medicine     Nepal Health Research Council Nepal Health Research Council Reference 07/11/2012   THS-00036/MAH/2000 THS-00036 07/11/2012 07/11/2012 Thesis Report

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