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Intraoperative dextrose rate during exploratory laparotomies in neonates and the incidence of postoperative hyperglycemia: A retrospective observational study

Paediatric Anaesthesia Dec 17, 2020

Kolesky SE, Nyshadham S, Williams HO, et al. - Researchers performed this study among neonatal intensive care unit patients who underwent exploratory laparotomy under general anesthesia, to examine the link between halving the preoperative maintenance dextrose rate and postoperative euglycemia in this patient population. Using a calculated dextrose ratio, patients were split into full and half intraoperative dextrose rate cohorts. According to findings, a reduced risk of postoperative hyperglycemia as well as no substantial increase in the development of postoperative hypoglycemia was observed in relation to halving of preoperative dextrose rates intraoperatively during exploratory laparotomy in neonatal intensive care unit patients. For intraoperative glucose management in the high‐risk neonatal population, halving preoperative dextrose rates may afford an effective empirical approach when blood glucose monitoring is challenging.

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