Pediatric anesthesia & critical care
Short anesthesia without intravenous fluid therapy in children: Results of a prospective non‐interventional multicenter observational study
Authors' conclusion
Our study supported the German guidelines recommendation that perioperative intravenous fluid therapy is not mandatory in children beyond the neonatal period with short pre- and postoperative fasting times undergoing short anesthesia (<1 h).
Study context
- Population
- Children aged 1 month-18 years undergoing short anesthesia (<1 h) without IV fluid therapy, 3 German pediatric centers, July 2021 to June 2022included in the analysis
- Participants
- 427 children
- Outcome
- Incidence of hypotension (<2.5th percentile)
- Follow-up
- During the course of anesthesia
Methodological details3 pediatric centers
- 3 pediatric centers
Main finding
As reported in the abstract
Hypotension (<2.5th percentile) during anesthesia
3 of 427 cases
0.7%
Observational data: associations, not effects.
Further findings
Real preoperative fasting times
- Solids
- 14.2 ± 3.6 h
- Milk
- 7.2 ± 3.5 h
- Clear fluids
- 5 ± 4.8 h
Hypoglycemia (glucose <3.0 mmol L-1) · During the course of anesthesia
- Hypoglycemia (glucose <3.0 mmol L-1) during anesthesia
- 1 of 355 cases (0.3%)
Ketosis (ketone bodies ≥0.6 mmol L-1) · During the course of anesthesia
- Ketosis (ketone bodies ≥0.6 mmol L-1) during anesthesia
- 51 of 233 cases (21.9%)
Factors associated with ketosis
- Ketosis associated with lower body weight
- P < 0.001
- Ketosis associated with longer fasting times for solids or milk
- P = 0.021
- Ketosis not associated with fasting time for clear fluids
- P = 0.69
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
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