INTRAOPERATIVE GLYCEMIC PROFILE AND DEMAND IN GLUCOSE IN NEWBORNS

The article sums up the data of the study examining the intraoperative glycemic status in 30 newborns with congenital abnormalities. Median age at the operation amounted to 72 [48; 168] years of life, duration of surgery was 72.5 [60; 90] minutes. All children used general anesthesia (Sevofluran+ Phentanyl), intraoperative infusion therapy consisted of saline solutions. The level of glucose in blood was estimated before the surgery, every 30 minutes during the surgery and at the end of the surgery; correction was performed when needed. High frequency of non-euglycemic conditions was revealed especially at the stages of tracheal intubation and skin incision. In the majority of cases the children had hypoglycemia (66.7%) requiring correction. During the surgery, the blood glucose level was normalized and remained within the reference range. Thus, intraoperative glycemia in newborns is an unstable indicator; it requires monitoring for adequate infusion of glucose-containing solutions to avoid hypo- and hyperglycemia.