Abstract

Anupriya Joseph* and Mallie Abraham

ABSTRACT

Objective: To determine whether the preoperative carbohydrate drink 2 hoursbefore surgery will decrease the incidence of PONV in patients undergoing electivesurgeries of less than 3 hours duration, using a PONV Impact scale. To measure theresidual gastric volume in the same group of patients. Patients and methods: Thestudy was undertaken in The Department of Anesthesia at Lakeshore Hospital andResearch Centre, Kochi, Kerala. The study was conducted from September 2018 toDecember 2019 Hundred patients admitted forsurgeries of less than three hoursduration under general anesthesia belonging ASA1 and 2 grades were selected.These were the cases of 2 surgical consultants one who advised preoperative clearfluids (black tea,black coffee or water) and the other prescribing carbohydratedrinks(carboload). Post operatively they were evaluated for the presence of nauseaand vomiting using PONV impact score at 1 hour, 6 hours and 24 hours. Also thegastric residual volume was measured using a 14G Ryles tube which was insertedafter induction of anesthesia. Results: PONV impact score and gastric residualvolume was found to be less for the patients administered carbohydrate dink(carboload) compared to the other patients who were administered clear fluids.Conclusion: The incidence of postoperative nausea and vomiting was less andgastric residual volume was not increased in patients provided with carbohydratedrink 2 hours prior to surgery.