Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Research Article Volume 4 Issue 10

Practical Use of Oral Rehydration Solutions and their Implementation in ERAS Protocols (Literature Review)

Bihniak PI1*, Gomon ML2 and Krenov K Yu3

1Municipal Non-Commercial Enterprise, “Starokostiantyniv Central District Hospital”, Ukraine
2National Pirogov Memorial Medical University, Ukraine
3Municipal Non-Commercial Enterprise, “Khmelnytskyi Regional Hospital”, Ukraine

*Corresponding Author: Bihniak PI, Municipal Non-Commercial Enterprise, “Starokostiantyniv Central District Hospital”, Ukraine.

Received: August 09, 2021; Published: September 23, 2021

Abstract

Introduction: 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.

Conclusion: ORT is a simple, affordable and effective method to correct hydro-electrolyte balance disorders in elective surgical patients.

Keywords: Oral Rehydration Mixture; Oral Rehydration Therapy

References

  1. European protocol for management of acute gastroenteritis in children (2018).
  2. Horelov АV., et al. “Treatment of acute intestinal infections in children: Manual for doctors. – M (2002): 48.
  3. Zhydkov YuB and Kolotilov LV. “Infusion-transfusion therapy for infectious diseases in children and adults”. M.: MED press-inform (2005).
  4. Zakharenko SM. “Oral rehydration therapy for acute intestinal infections”. Journal of Infectology2-3 (2009): 5863.
  5. RS Korytniuk., et al. “The role of polyionic solutions in infusion therapy (review)”. Pharmatsevt 4 (2012): 37-42.
  6. МV Pohorielov., et al. “Modern ideas about water-salt exchange (literature review and methods of own research) Newsletter”. Bulletin of Problems Biology and Medicine 2 (2009): 8-14.
  7. Chernii VІ and Yevsieieva VV. “Prospects for the application of ERAS protocols in bariatric surgery”. Pain, Anesthesia and Intensive Care1 (2018): 29-34.
  8. Tatsuya Fukuyama., et al. “Safety and efficacy of oral rehydration therapy until 2 h before surgery: a multicenter randomized controlled trial Kenji Itou”. The Journal of Anesthesia 26 (2012): 20-27.
  9. Gustafsson UO., et al. “Guidelines for Perioperative Care in Elective Colonic Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations”. World Journal of Surgery 37 (2013): 259-284.
  10. Toshio Sasaki., et al. “Research Paper Oral Rehydration Therapy for Preoperative Fluid and Electrolyte Management”. International Journal of Medical Sciences6 (2011): 501-509.
  11. Ewa Trejnowska., et al. “The importance of fluid balance in critically ill patients - a retrospective observational study”. Pan African Medical Journal 29 (2018): 208.
  12. Pain, anesthesia, intensive therapy. No 3, 2014 Infusion Therapy: Recommendations Based On Common Sense (review of British guideline* for infusion therapy, adapted by U.А. Fesenko) (2014).
  13. Hideki Taniguchi., et al. “Cite as Preoperative fluid and electrolyte management with oral rehydration therapy”. Journal of Anesthesia2 (2009): 222-229.
  14. Hideki Taniguchi., et al. “Cite as Modified ERAS protocol using preoperative oral rehydration therapy: outcomes and issues”. Journal of Anesthesia1 (2014): 143-147.

Citation

Citation: Bihniak PI., et al. “Practical Use of Oral Rehydration Solutions and their Implementation in ERAS Protocols (Literature Review)”. Acta Scientific Gastrointestinal Disorders 4.10 (2021): 64-69.

Copyright

Copyright: © 2021 Bihniak PI., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days

Indexed In




News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is December 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"

Contact US