The effectiveness of preoperative carbohydrate oral (CHO) loading on postoperative insulin resistance in laparotomy gynecological surgery compared with a fasting protocol Fasting protocol means overnight fasting prior to operative day
Conditions
Interventions
Carbohydrate oral loading (12.5 g/100 ml) 400 ml at 22.00 the day before surgery and 2 hr prior to surgery,Fasting overnight from the day before surgery
Experimental Dietary Supplement,No Intervention No treatment
CHO ,Fasting
Sponsors
None listed
Eligibility
Sex/Gender
Female
Age
20 Years to 70 Years
Inclusion criteria
Inclusion criteria: Patient who uudergoing laparotomy gynecological surgerey
Exclusion criteria
Exclusion criteria: Diabetic patient ASA class I-II Allergy to carbohydrate drink Hypoglycemia Pelvic inflammatory diseases Receiving immunosuppressive therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Insulin resistance 06.00 at day of surgery and 6 hr after surgery HOMA-IR | — |
Secondary
| Measure | Time frame |
|---|---|
| Inflammatory response 06.00 at day of surgery and 6 hr after surgery CRP, serum albumin,Unwellness 0-4,4-8,8-12,12-24 hr after surgery Visual analogue scale,Pain 0-4,4-8,8-12,12-24 hr after surgery Visual analogue scale | — |
Countries
Thailand
Contacts
Public ContactChanprim Ratanasaenghirun
Phramongkutklao hospital
Outcome results
None listed