This page is part of the 10N-Matrix for a high quality conduct of pediatric anesthesia.
Normal blood glucose concentration within the age specific normal range.
Blood glucose homeostasis is important for ensuring a continuing energy supply and stable plasma osmolality. Small infants have reduced glycogen storage capacity and hence have a limited ability to maintain blood glucose concentrations during periods of fasting.
Acute and chronic changes in blood glucose concentrations have significant consequences to the perioperative outcome.
- hemodynamic instability
- coma, death
- polyuria and dehydration and
- seizures, death
Prevention and treatment
- awareness of fasting and nutrition status of the patient, minimize preoperative fasting times
- perioperative (surgical) stress reduction (analgesia and body temperature control)
- situation appropriate monitoring (neonates, critically ill children) and investigations
- consider isotonic glucose containing perioperative intravenous solutions especially in preterm, neonates and small infants, patient on total parental nutrition (TPN) and critically ill patients
- patients with inherited and acquired endocrine or glucose dependent metabolic disorders require special attention and workup
- prompt and appropriate treatment of significant hypo- and hyperglycemia
- coming soon…
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- No Fear / No Awareness
- Normal Heart Rate
- No Postoperative Discomfort:
- No Pain
- No PONV
- No Emergence Delirium