title: [The Influence of Preoperative Oral Carbohydrate Administration on Perioperative Blood Sugar Levels and Patients' Satisfaction].
abstract: BACKGROUND
  After introducing preoperative oral carbohydrate as a part of enhanced recovery after surgery (ERAS) protocols, we assessed the influence of carbohydrate administration on the perioperative blood sugar levels (BS), the variation of vital signs and patients' satisfaction.
  
  
  METHODS
  After IRB's approval and obtaining patients' consent, patients were divided into two groups; taking carbohydrate (Group AW) or not (Group NAW). Anesthesia was induced and maintained with total intravenous anesthesia using propofol, remifentanil and rocuronium. We measured BS six times during perioperative period. We also compared blood pressures and heart rates during induction of anesthesia. Moreover, we carried out questionnaire surveys about degree of satisfaction for ERAS among patients and nurses.
  
  
  RESULTS
  Heart rates were significantly higher in Group AW (P < 0.05), but there were no significant difference in blood pressures or BS between the groups. Patients in Group AW had more anxiety for surgeries (P = 0.003), but more than 85% of patients and nurses were satisfied with carbohydrates.
  
  
  CONCLUSIONS
  The carbohydrate administration had little influence on the perioperative vital signs. However, we gained high reputations from patients and paramedics.
authors.forename: Tomotaka
authors.initials: T
authors.lastname: Morita
authors.forename: Takashi
authors.initials: T
authors.lastname: Kita
authors.forename: Kyoko
authors.initials: K
authors.lastname: Masada
authors.forename: Takako
authors.initials: T
authors.lastname: Nagata
authors.forename: Shigeta
authors.initials: S
authors.lastname: Sasaki
mesh_terms: D000284:Administration, Oral; D000732:Androstanols / Q000008:administration & dosage; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D001786:Blood Glucose / Q000032:analysis*; D005260:Female; D006339:Heart Rate / Q000187:drug effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D059035:Perioperative Period; D010880:Piperidines / Q000008:administration & dosage; D015742:Propofol / Q000008:administration & dosage; D000077208:Remifentanil; D000077123:Rocuronium
chemical_list: D000732:Androstanols; D018686:Anesthetics, Intravenous; D001786:Blood Glucose; D010880:Piperidines; D000077208:Remifentanil; D000077123:Rocuronium; D015742:Propofol