Hubungan antara Lama Puasa Preanestesi dan Kadar Gula Darah Saat Induksi pada Pasien Pediatrik yang Menjalani Operasi Elektif

Abstract

Puasa preoperatif adalah untuk mengurangi volume, tingkat keasaman lambung, dan mengurangi risiko aspirasi paru. Puasa preoperatif sering kali lebih lama daripada yang direkomendasikan karena berbagai alasan di Rumah Sakit Dr. Hasan Sadikin Bandung. Tujuan penelitian ini adalah mengetahui korelasi antara lama puasa preanestesi dan kadar gula darah saat induksi pada pasien pediatrik di Rumah Sakit Dr. Hasan Sadikin Bandung. Penelitian analitik observasional cros sectional dilakukan pada pasien pediatrik pada bulan Januari–Februari 2015 di Instalasi Bedah Sentral Rumah Sakit Dr. Hasan Sadikin Bandung. Uji distribusi data menurut Kolmogorov-Smirnov kemudian dilakukan Uji kolerasi Spearman. Lama puasa minimum, maksimum, dan rata-rata (SD) puasa dari makanan  4, 15, dan 8,7500 (3,48597) jam. Lama puasa minimum, maksimum, dan rata-rata (SD) dari minuman adalah 2, 15, dan 12,56 (3,26) jam. Tidak ditemukan kejadian hipoglikemia pada penelitian ini dengan gula darah sewaktu induksi terendah 59 mg/dL. Terdapat hubungan yang bermakna antara lama puasa preanestesi dengan GDS induksi (p<0,05). Simpulan, lama puasa preanestesi pada pasien pediatrik yang akan menjalani operasi elektif melebihi dari apa yang dianjurkan oleh ASA. Terdapat hubungan antara lama puasa preanestesi dan kadar gula darah saat induksi.

Kata kunci: Kadar gula darah, lama puasa preanestesi, operasi elektif, pediatrik

Correlation between Preanesthetic Fasting Duration and Blood Glucose Level During Induction in Pediatric Elective Surgery Patients


Preoperative fasting is to reduce the volume and acidity of gastric and further reduce the risk of pulmonary aspiration. Preoperative fasting period often longer than the recommended time for various reasons in Dr. Hasan Sadikin General Hospital Bandung. The purpose of this study was to determine the correlation between preanesthetic fasting duration and blood sugar level induction in pediatric patients in Dr. Hasan Sadikin General Hospital Bandung. An analytical observational cross-sectional study was conducted on pediatric patients during period of January–Februari 2015 at the Central Surgical Installation of Dr. Hasan Sadikin General Hospital Bandung. The minimum, maximum, and mean (SD) fasting from food duration were 4, 15, and 8.7500 (3.48597) hours. The minimum, maximum, and mean (SD) fasting from drinks durations were 2, 15 and 12.56 (3.26) hours. The incidence of hypoglycemia was not found in this study. Based on the result of Spearman correlation test showed a statistically significant relationship between preanesthetic fasting duration and with blood glucose level during induction (p<0.05). In conclusion, preanesthetic fasting duration in pediatric patients who are undergoing an alective surgerybin this hospital is longer than the duration recommended by ASA. There is a correlation between the preanesthetic fasting period and blood sugar level during induction.
 
Key words: Blood glucose levels, duration of preanesthetic fasting, elective surgery, pediatric

DOI: 10.15851/jap.v3n3.614