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Different preoperative fluids do not affect the hemodynamic status but gastric volume: results of a randomized crossover pilot study

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机构: [1]Department of Anesthesiology, The Seventh Affiliated Hospital of Sun Yat-SenUniversity, Shenzhen City, Guangdong Province 518107, People’s Republicof China [2]Guangzhou Medical University, No.1 Xinzao Road, Panyu District,Guangzhou City 511436, People’s Republic of China [3]Department of Anesthesiology,The Second Affiliated Hospital of Guangzhou University of ChineseMedicine, Guangzhou City, People’s Republic of China [4]Department of MedicalUltrasound, The Seventh Affiliated Hospital of Sun Yat-sen University,Shenzhen City, People’s Republic of China
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关键词: IVC IVCCI Gastric volume

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Background and objective Inferior vena cava (IVC) examination has been reported as a noninvasive method for evaluating the hemodynamic state. We conducted this crossover pilot study to investigate the effects of the administration of water and high-carbohydrate-containing fluids on the hemodynamic status of volunteers through collapsibility index of IVC (IVCCI) measurement. Methods Twenty volunteers were randomly assigned to a water or high-carbohydrate group according to computer-generated random numbers in a 1:1 ratio. In the water group, volunteers received water (5 mL/kg), and in the high-carbohydrate group, patients received carbohydrate drinks (5 mL/kg). Respiratory variations in the IVC diameter, gastric volume, and blood pressure and heart rates in erect and supine positions were measured at admission (T1), 1 h (T2), 2 h (T3), 3 h (T4), and 4 h (T5). Results When considering participants with an IVCCI of more than 42%, there were no significant differences between the water and carbohydrate drink groups at each time point (all p > 0.05). At T2, more participants had an empty stomach in water group than in carbohydrate drink group (p < 0.001). At T3, 30% of the participants could not empty their stomachs in carbohydrate drink group. However, with regard to the number of volunteers with empty stomach at T3, there was no significant difference between water and carbohydrate drink group. Repeated measures data analysis demonstrated that IVCCI showed no significant differences over time (p = 0.063 for T1-T5). There were no differences between water and carbohydrate drinks (p = 0.867). Conclusion Our results suggested that neither water nor carbohydrate drinking affected the hemodynamic status through IVCCI measurement over time, up to 4 h after drinking. Furthermore, carbohydrate drinking might delay gastric emptying at 1 h, but not 2 h after drinking, in comparison with water.

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出版当年[2021]版:
大类 | 4 区 医学
小类 | 4 区 麻醉学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 麻醉学
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出版当年[2020]版:
Q4 ANESTHESIOLOGY
最新[2023]版:
Q2 ANESTHESIOLOGY

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第一作者机构: [1]Department of Anesthesiology, The Seventh Affiliated Hospital of Sun Yat-SenUniversity, Shenzhen City, Guangdong Province 518107, People’s Republicof China [2]Guangzhou Medical University, No.1 Xinzao Road, Panyu District,Guangzhou City 511436, People’s Republic of China
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