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

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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.