Abstract:
Volemic therapy has been paid much attention in the ERAS program, in particular the use of fluids before surgery has been liberalized, the effectiveness of chewing gum has been proved, the early removal of drains and probes has been recommended (which facilitates the intake of fluids and food through the mouth in the postoperative period). The most common electrolyte disorders in the postoperative period is sodium and fluid retention (due to the fact that the operative stress stimulates secretion of antidiuretic hormone), hypokalemia (exchange for hydrogen ions during acidosis compensation, insufficient admission, "invisible losses" in hemolysis, polyuria, diabetes insipidus syndrome, for instance in neurosurgery or sub-compensation of existing diabetes mellitus. The aim of the study was to reveal the influence of preoperative rehydration therapy on patients' functional indicators in early postoperative period. Methods: 73 elective patients of the surgical department of Starokostiantyniv Central District Hospital were examined. The first group consisted of patients receiving "traditional" preoperative preparation (control group) n = 33. Patients of the second group received IONICA oral rehydration mixture as a preoperative preparation in the amount of 20 ml/kg the day before surgery, n = 40. Results: The first group (n = 33) consisted of patients with “traditional” preoperative preparation, the average age of patients was 43.2 ± 18.3, the second group consisted of patients with preoperative preparation, which included the ORM (oral rehydration mixture) IONICA (n = 40), the average age of patients was 46.3 ± 11.4. Functional and laboratory indicators were defined before surgery and in 24 hours, and the day of peristalsis recovery was also determined. There was no significant difference between the studied indicators on the first day; the only exception was the glucose level, which was significantly lower in the ORM group in 24 hours compared to the “standard” therapy group. Besides, despite the absence of significant differences in the peristalsis recovery in the control group, it occurred on 2.9 ± 0.7, compared with the ORM group: 2.7 ± 0.6 day.
