INTRAOPERATIVE GLUCOSE LEVELIN NON-DIABETIC PATIENT UNDERGOING ELECTIVE MAJOR SURGERY UNDER GENERALANAESTHESIA RECEIVING DIFFERENT CRYSTALLOID SOLUTIONS AS MAINTENANCE FLUID (A COMPARISON BETWEEN NS AND RL)

Abstract

INTRODUCTION: The present study was undertaken to observe the effect of different maintenance \uf002uid regimen on intraoperative blood\nglucose levels in non-diabetic patients undergoing elective major surgery under general anesthesia.\nAIMS AND OBJECTIVES: This study was conducted to observe the effect of different maintenance \uf002uids in intraoperative blood glucose levels\nof non-diabetic patients undergoing elective major non-cardiac surgery under general anesthesia.\nMATERIALS AND METHODS: The present study was conducted in the Department of Anesthesiology of Assam Medical College, Dibrugarh\nfor a period of one year. Hospital based observational study. Patients undergoing elective major surgeries at operation theatres of Department of\nGeneral Surgery of Assam Medical College & Hospital, Dibrugarh. One (1) year from July 2015 to June 2016.\nRESULT: The mean difference of capillary blood glucose level between baseline and 1.5 hours after intubation for those procedures lasted that\nlong in Group N was 22.87 mg/dl with a 95% con\uf001dence interval of 103.83-108.61 while in Group R it was 26.82 mg/dl with a 95% con\uf001dence\ninterval of 108.41-111.59. The mean difference of capillary blood glucose level between baseline and 2 hours after intubation for those procedures\nlasted that long in Group N was 34.14 mg/dl with a 95% con\uf001dence interval of 117.29–117.71 while in Group R it was 34.07 with a 95% con\uf001dence\ninterval of 116.38–118.12.\nCONCLUSION: This study we can come to a conclusion that though there is a rising trend in change in intraoperative capillary blood glucose\nlevel in both the solutions used perioperatively, yet the mean change in intraoperative capillary blood glucose level in non-diabetic patients\nundergoing major surgeries under general anaesthesia receiving either 0.9% sodium chloride or Ringer s lactate solutions as maintenance \uf002uid\nperioperatively, is comparable, yet needs larger groups of study