tailieunhanh - Báo cáo y học: "Oral Rehydration Therapy for Preoperative Fluid and Electrolyte Management"

Tuyển tập các báo cáo nghiên cứu khoa học ngành y học tạp chí Medical Sciences dành cho các bạn sinh viên ngành y tham khảo đề tài: Oral Rehydration Therapy for Preoperative Fluid and Electrolyte Management. | Int. J. Med. Sci. 2011 8 501 IVYSPRING iNTErNAToNALI- International Journal of Medical Sciences 2011 8 6 501-509 Research Paper Oral Rehydration Therapy for Preoperative Fluid and Electrolyte Management Hideki Taniguchi1 2 X Toshio Sasaki2 Hisae Fujita2 1. School of Nutrition Dietetics Kanagawa University of Human Services Yokosuka Kanagawa 238-8522 Japan 2. Department of Anesthesiology Kanagawa Cancer Center Yokohama 241-0815 Japan H Corresponding author Hideki Taniguchi MD School of Nutrition Dietetics Kanagawa University of Human Services 1-10-1 Heiseicho Yokosuka Kanagawa 238-8522 Japan. Address e-mail taniguchi-hdk@ Ivyspring International Publisher. This is an open-access article distributed under the terms of the Creative Commons License http licenses by-nc-nd . Reproduction is permitted for personal noncommercial use provided that the article is in whole unmodified and properly cited. Received Accepted Published Abstract Aim Preoperative fluid and electrolyte management is usually performed by intravenous therapy. We investigated the safety and effectiveness of oral rehydration therapy ORT for preoperative fluid and electrolyte management of surgical patients. Methods The study consisted of two studies designed as a prospective observational study. In a pilot study 20 surgical patients consumed 1000 mL of an oral rehydration solution ORS until 2 h before induction of general anesthesia. Parameters such as serum electrolyte concentrations fractional excretion of sodium FENa as an index of renal blood flow volume of esophageal-pharyngeal fluid and gastric fluid EPGF and patient satisfaction with ORT were assessed. In a follow-up study to assess the safety of ORT 1078 surgical patients who consumed ORS until 2 h before induction of general anesthesia were assessed. Results In the pilot study water electrolytes and carbohydrate were effectively and safely supplied by ORT. The FENa value was .