Jensen B H, Wernberg M, Andersen M
Br J Anaesth. 1982 Oct;54(10):1071-4. doi: 10.1093/bja/54.10.1071.
Blood glucose concentrations were measured in 82 children undergoing inpatient anaesthesia and in 46 children undergoing anaesthesia as outpatients. The children were aged between 6 months and 9 yr. Outpatients were fasted from bedtime, while inpatients were randomly allocated to two groups. In group A the children were fasted from bedtime, whereas in group B the children were fed 6 h before anaesthesia. There was no difference in mean blood glucose concentration between the fasted inpatients and outpatients nor between children younger than, or older than, 4 years of age. A blood glucose concentration of less than 40 mg dl-1 was found in only one of the fasted children (1%). The mean blood glucose concentration was greater in group B than A, but only significantly so for children older than 4 yr. It is concluded that to minimize the risks of hypoglycaemia and inhalation of vomit on induction of anaesthesia children older than 6 months should be fasted overnight and operated on in the morning.
对82名接受住院麻醉的儿童和46名接受门诊麻醉的儿童测量了血糖浓度。这些儿童年龄在6个月至9岁之间。门诊患儿从睡前开始禁食，而住院患儿被随机分为两组。A组患儿从睡前开始禁食，而B组患儿在麻醉前6小时喂食。禁食的住院患儿和门诊患儿之间，以及4岁以下和4岁以上儿童之间的平均血糖浓度没有差异。在禁食的儿童中，只有一名儿童（1%）的血糖浓度低于40 mg dl-1。B组的平均血糖浓度高于A组，但仅4岁以上儿童的差异具有显著性。得出的结论是，为了将麻醉诱导时低血糖和呕吐物吸入的风险降至最低，6个月以上的儿童应夜间禁食并在上午进行手术。
