Effect of preoperative oral carbohydrate loading versus oral rehydration solution on enhanced recovery after surgery in elective open gynecological surgeries: A prospective interventional study
Background and Aims: Enhanced recovery after surgery recommends preoperative consumption of carbohydrate within 2 hours before elective surgery to reduce perioperative discomfort and improve patient outcome. Material and Methods: This prospective interventional study included 105 adult patients, und...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-04-01
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| Series: | Journal of Anaesthesiology Clinical Pharmacology |
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| Online Access: | https://journals.lww.com/10.4103/joacp.joacp_86_24 |
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| author | Saniya Jaiswal Pooja Singh Vaishali Waindeskar Sunaina Tejpal Karna K. Pushpalatha Pranita Mandal |
| author_facet | Saniya Jaiswal Pooja Singh Vaishali Waindeskar Sunaina Tejpal Karna K. Pushpalatha Pranita Mandal |
| author_sort | Saniya Jaiswal |
| collection | DOAJ |
| description | Background and Aims:
Enhanced recovery after surgery recommends preoperative consumption of carbohydrate within 2 hours before elective surgery to reduce perioperative discomfort and improve patient outcome.
Material and Methods:
This prospective interventional study included 105 adult patients, undergoing elective open gynecological surgery under neuraxial anesthesia. Groups I, II, and III were administered commercially available preoperative carbohydrate drink, oral rehydration solution (ORS), and mineral water, respectively, at night and 3 hours before surgery. The primary objective was to assess the difference in hunger, thirst, anxiety, nausea, and fatigue using visual analog scale, postoperative blood sugar levels, and quality of recovery (QoR) 40 questionnaire among groups.
Results:
Severe hunger (22.9%), thirst (31.4%), and anxiety (34.3%) were experienced more in group III, while in group I and II, no patient had severe discomfort. The mean blood sugar levels in group III (111.3 ± 12.3, 129.4 ± 7.3) were higher compared to group I and II at both 1 hour and 24 hours after initiation of anesthesia. The mean QoR score was the highest in group I compared to group II and group III (P < 0.001). The majority of the patients in group I (77.1%) had an early return of gastrointestinal function and a shorter length of hospital stay.
Conclusions:
The overall effectiveness of commercially available preoperative carbohydrate solution was more compared to ORS and mineral water. The consumption of ORS drink resulted in less thirst and satisfactory outcomes due to its higher electrolyte content, making it a suitable option for low resource setting. |
| format | Article |
| id | doaj-art-749e1261d53644959e12f99b0d07f85d |
| institution | OA Journals |
| issn | 0970-9185 2231-2730 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Anaesthesiology Clinical Pharmacology |
| spelling | doaj-art-749e1261d53644959e12f99b0d07f85d2025-08-20T02:09:22ZengWolters Kluwer Medknow PublicationsJournal of Anaesthesiology Clinical Pharmacology0970-91852231-27302025-04-0141231131710.4103/joacp.joacp_86_24Effect of preoperative oral carbohydrate loading versus oral rehydration solution on enhanced recovery after surgery in elective open gynecological surgeries: A prospective interventional studySaniya JaiswalPooja SinghVaishali WaindeskarSunaina Tejpal KarnaK. PushpalathaPranita MandalBackground and Aims: Enhanced recovery after surgery recommends preoperative consumption of carbohydrate within 2 hours before elective surgery to reduce perioperative discomfort and improve patient outcome. Material and Methods: This prospective interventional study included 105 adult patients, undergoing elective open gynecological surgery under neuraxial anesthesia. Groups I, II, and III were administered commercially available preoperative carbohydrate drink, oral rehydration solution (ORS), and mineral water, respectively, at night and 3 hours before surgery. The primary objective was to assess the difference in hunger, thirst, anxiety, nausea, and fatigue using visual analog scale, postoperative blood sugar levels, and quality of recovery (QoR) 40 questionnaire among groups. Results: Severe hunger (22.9%), thirst (31.4%), and anxiety (34.3%) were experienced more in group III, while in group I and II, no patient had severe discomfort. The mean blood sugar levels in group III (111.3 ± 12.3, 129.4 ± 7.3) were higher compared to group I and II at both 1 hour and 24 hours after initiation of anesthesia. The mean QoR score was the highest in group I compared to group II and group III (P < 0.001). The majority of the patients in group I (77.1%) had an early return of gastrointestinal function and a shorter length of hospital stay. Conclusions: The overall effectiveness of commercially available preoperative carbohydrate solution was more compared to ORS and mineral water. The consumption of ORS drink resulted in less thirst and satisfactory outcomes due to its higher electrolyte content, making it a suitable option for low resource setting.https://journals.lww.com/10.4103/joacp.joacp_86_24enhanced recovery after surgerygynecological surgeriespreoperative carbohydrate loadingrehydration solution |
| spellingShingle | Saniya Jaiswal Pooja Singh Vaishali Waindeskar Sunaina Tejpal Karna K. Pushpalatha Pranita Mandal Effect of preoperative oral carbohydrate loading versus oral rehydration solution on enhanced recovery after surgery in elective open gynecological surgeries: A prospective interventional study Journal of Anaesthesiology Clinical Pharmacology enhanced recovery after surgery gynecological surgeries preoperative carbohydrate loading rehydration solution |
| title | Effect of preoperative oral carbohydrate loading versus oral rehydration solution on enhanced recovery after surgery in elective open gynecological surgeries: A prospective interventional study |
| title_full | Effect of preoperative oral carbohydrate loading versus oral rehydration solution on enhanced recovery after surgery in elective open gynecological surgeries: A prospective interventional study |
| title_fullStr | Effect of preoperative oral carbohydrate loading versus oral rehydration solution on enhanced recovery after surgery in elective open gynecological surgeries: A prospective interventional study |
| title_full_unstemmed | Effect of preoperative oral carbohydrate loading versus oral rehydration solution on enhanced recovery after surgery in elective open gynecological surgeries: A prospective interventional study |
| title_short | Effect of preoperative oral carbohydrate loading versus oral rehydration solution on enhanced recovery after surgery in elective open gynecological surgeries: A prospective interventional study |
| title_sort | effect of preoperative oral carbohydrate loading versus oral rehydration solution on enhanced recovery after surgery in elective open gynecological surgeries a prospective interventional study |
| topic | enhanced recovery after surgery gynecological surgeries preoperative carbohydrate loading rehydration solution |
| url | https://journals.lww.com/10.4103/joacp.joacp_86_24 |
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