The Comparison between Preoperative Maltodextrine and Sugar Water Administration on Random Blood Glucose Levels in Enhanced Recovery After Cesarean Surgery (ERACS) Patients
Background: Oral carbohydrate administration reduces post-operative insulin resistance and improves post-operative recovery. Sugar water and maltodextrin are oral carbohydrates that can be given to enhanced recovery after caesarean surgery (ERACS) patients. Objective: To compare the effect between...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Fakultas Kedokteran, Universitas Diponegoro
2024-11-01
|
| Series: | JAI (Jurnal Anestesiologi Indonesia) |
| Subjects: | |
| Online Access: | https://ejournal.undip.ac.id/index.php/janesti/article/view/65043 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846120998334627840 |
|---|---|
| author | Satrio Adi Wicaksono Dwi Pudjanarko Ignatius Riwanto |
| author_facet | Satrio Adi Wicaksono Dwi Pudjanarko Ignatius Riwanto |
| author_sort | Satrio Adi Wicaksono |
| collection | DOAJ |
| description | Background: Oral carbohydrate administration reduces post-operative insulin resistance and improves post-operative recovery. Sugar water and maltodextrin are oral carbohydrates that can be given to enhanced recovery after caesarean surgery (ERACS) patients.
Objective: To compare the effect between pre-operative maltodextrin treatment and sugar water treatment on random blood glucose (RBG) levels in enhanced recovery after caesarean section (ERACS) patients.
Methods: A randomized control study with pre-test and post-test design was used on 48 patients who underwent ERACS surgery at Dr. Kariadi hospital Semarang Indonesia and met the inclusion and exclusion criteria. Study subjects were divided into two groups: a pre-operative maltodextrin treatment group (n=24) and a pre-operative sugar water control group (n=24). RBG levels were checked with point-of-care testing (POCT) at soon before surgery and at 2 hours after surgery. Mann-Whitney test was used to analyse the difference of RBG levels between group with Maltodextrin and group with sugar water. Wilcoxon test was used to analyse the difference of RBG levels before surgery (pre-operative RBG) and 2 hours after surgery (post-operative RBG). The p value of <0.05 was considered as statistically significant.
Result: There were significant lower RBG levels in group with pre-operative maltodextrin treatment compared to group with pre-operative sugar water at soon before surgery (pre-operative) (83.5 ± 9.73 vs 96.2 ± 12.99 mg/dL, p=0.003) and at 2 hours post-operative (101.7 ± 15.81 vs 118.9 ± 28.38, p=0.035) in ERACS patients.
Conclusion: If confirmed by further studies, pre-operative maltodextrin administration might provide better outcome in reducing post-operative catabolic status by reducing post-operative insulin resistance and improving RBG levels before and after ERACS compared to sugar water control. |
| format | Article |
| id | doaj-art-0adb8da2ce094812805a0f5e3027044d |
| institution | Kabale University |
| issn | 2337-5124 2089-970X |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Fakultas Kedokteran, Universitas Diponegoro |
| record_format | Article |
| series | JAI (Jurnal Anestesiologi Indonesia) |
| spelling | doaj-art-0adb8da2ce094812805a0f5e3027044d2024-12-16T06:18:52ZengFakultas Kedokteran, Universitas DiponegoroJAI (Jurnal Anestesiologi Indonesia)2337-51242089-970X2024-11-0116324124810.14710/jai.v0i0.6504324859The Comparison between Preoperative Maltodextrine and Sugar Water Administration on Random Blood Glucose Levels in Enhanced Recovery After Cesarean Surgery (ERACS) PatientsSatrio Adi Wicaksono0https://orcid.org/0000-0001-7937-4352Dwi Pudjanarko1Ignatius Riwanto2Doctoral Study Program in Medical and Health Sciences, Faculty of Medicine, Diponegoro University, Semarang, IndonesiaDoctoral Study Program in Medical and Health Sciences, Faculty of Medicine, Diponegoro University, Semarang, IndonesiaDoctoral Study Program in Medical and Health Sciences, Faculty of Medicine, Diponegoro University, Semarang, IndonesiaBackground: Oral carbohydrate administration reduces post-operative insulin resistance and improves post-operative recovery. Sugar water and maltodextrin are oral carbohydrates that can be given to enhanced recovery after caesarean surgery (ERACS) patients. Objective: To compare the effect between pre-operative maltodextrin treatment and sugar water treatment on random blood glucose (RBG) levels in enhanced recovery after caesarean section (ERACS) patients. Methods: A randomized control study with pre-test and post-test design was used on 48 patients who underwent ERACS surgery at Dr. Kariadi hospital Semarang Indonesia and met the inclusion and exclusion criteria. Study subjects were divided into two groups: a pre-operative maltodextrin treatment group (n=24) and a pre-operative sugar water control group (n=24). RBG levels were checked with point-of-care testing (POCT) at soon before surgery and at 2 hours after surgery. Mann-Whitney test was used to analyse the difference of RBG levels between group with Maltodextrin and group with sugar water. Wilcoxon test was used to analyse the difference of RBG levels before surgery (pre-operative RBG) and 2 hours after surgery (post-operative RBG). The p value of <0.05 was considered as statistically significant. Result: There were significant lower RBG levels in group with pre-operative maltodextrin treatment compared to group with pre-operative sugar water at soon before surgery (pre-operative) (83.5 ± 9.73 vs 96.2 ± 12.99 mg/dL, p=0.003) and at 2 hours post-operative (101.7 ± 15.81 vs 118.9 ± 28.38, p=0.035) in ERACS patients. Conclusion: If confirmed by further studies, pre-operative maltodextrin administration might provide better outcome in reducing post-operative catabolic status by reducing post-operative insulin resistance and improving RBG levels before and after ERACS compared to sugar water control.https://ejournal.undip.ac.id/index.php/janesti/article/view/65043carbohydratecaesarean surgeryeracsmaltodextrinrandom blood glucose |
| spellingShingle | Satrio Adi Wicaksono Dwi Pudjanarko Ignatius Riwanto The Comparison between Preoperative Maltodextrine and Sugar Water Administration on Random Blood Glucose Levels in Enhanced Recovery After Cesarean Surgery (ERACS) Patients JAI (Jurnal Anestesiologi Indonesia) carbohydrate caesarean surgery eracs maltodextrin random blood glucose |
| title | The Comparison between Preoperative Maltodextrine and Sugar Water Administration on Random Blood Glucose Levels in Enhanced Recovery After Cesarean Surgery (ERACS) Patients |
| title_full | The Comparison between Preoperative Maltodextrine and Sugar Water Administration on Random Blood Glucose Levels in Enhanced Recovery After Cesarean Surgery (ERACS) Patients |
| title_fullStr | The Comparison between Preoperative Maltodextrine and Sugar Water Administration on Random Blood Glucose Levels in Enhanced Recovery After Cesarean Surgery (ERACS) Patients |
| title_full_unstemmed | The Comparison between Preoperative Maltodextrine and Sugar Water Administration on Random Blood Glucose Levels in Enhanced Recovery After Cesarean Surgery (ERACS) Patients |
| title_short | The Comparison between Preoperative Maltodextrine and Sugar Water Administration on Random Blood Glucose Levels in Enhanced Recovery After Cesarean Surgery (ERACS) Patients |
| title_sort | comparison between preoperative maltodextrine and sugar water administration on random blood glucose levels in enhanced recovery after cesarean surgery eracs patients |
| topic | carbohydrate caesarean surgery eracs maltodextrin random blood glucose |
| url | https://ejournal.undip.ac.id/index.php/janesti/article/view/65043 |
| work_keys_str_mv | AT satrioadiwicaksono thecomparisonbetweenpreoperativemaltodextrineandsugarwateradministrationonrandombloodglucoselevelsinenhancedrecoveryaftercesareansurgeryeracspatients AT dwipudjanarko thecomparisonbetweenpreoperativemaltodextrineandsugarwateradministrationonrandombloodglucoselevelsinenhancedrecoveryaftercesareansurgeryeracspatients AT ignatiusriwanto thecomparisonbetweenpreoperativemaltodextrineandsugarwateradministrationonrandombloodglucoselevelsinenhancedrecoveryaftercesareansurgeryeracspatients AT satrioadiwicaksono comparisonbetweenpreoperativemaltodextrineandsugarwateradministrationonrandombloodglucoselevelsinenhancedrecoveryaftercesareansurgeryeracspatients AT dwipudjanarko comparisonbetweenpreoperativemaltodextrineandsugarwateradministrationonrandombloodglucoselevelsinenhancedrecoveryaftercesareansurgeryeracspatients AT ignatiusriwanto comparisonbetweenpreoperativemaltodextrineandsugarwateradministrationonrandombloodglucoselevelsinenhancedrecoveryaftercesareansurgeryeracspatients |