Evidence map›Paper›PMID 35949825›Full record

Trial reportWorld journal of clinical cases2022

Impact of preoperative carbohydrate loading on gastric volume in patients with type 2 diabetes.

Xin-Qiang Lin, Yu-Ren Chen, Xiao Chen, Yu-Ping Cai, Jian-Xin Lin, De-Ming Xu, Xiao-Chun Zheng

Open access · diamondAbstract readClinical Trial
In one paragraph

Trial report in World journal of clinical cases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Xin-Qiang LinDepartment of Anesthesiology, Affiliated Hospital of Putian College, Putian Maternity and Child Care Hospital, Putian 351100, Fujian Province, China.
Yu-Ren ChenDepartment of Anesthesiology, Affiliated Hospital of Putian College, Putian 351100, Fujian Province, China.
Xiao ChenDepartment of Anesthesiology, Affiliated Hospital of Putian College, Putian 351100, Fujian Province, China.
Yu-Ping CaiDepartment of Anesthesiology, Affiliated Hospital of Putian College, Putian 351100, Fujian Province, China.
Jian-Xin LinDepartment of Anesthesiology, Affiliated Hospital of Putian College, Putian 351100, Fujian Province, China.
De-Ming XuDepartment of Anesthesiology, Affiliated Hospital of Putian College, Putian 351100, Fujian Province, China.
Xiao-Chun ZhengDepartment of Anesthesiology, Shenli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou 350001, Fujian Province, China. zhengxiaochun2021@163.com.
Putian University · CNFujian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnhanced recovery after surgery advocates that consuming carbohydrates two hours before anesthesia is beneficial to the patient's recovery. Patients with diabetes are prone to delayed gastric emptying. Different guidelines for preoperative carbohydrate consumption in patients with diabetes remain controversial due to concerns about the risk of regurgitation, aspiration and hyperglycemia. Ultrasonic gastric volume (GV) assessment and blood glucose monitoring can comprehensively evaluate the safety and feasibility of preoperative carbohydrate intake in type 2 diabetes (T2D) patients.

aimTo evaluate the impact of preoperative carbohydrate loading on GV before anesthesia induction in T2D patients.

methodsPatients with T2D receiving surgery under general anesthesia from December 2019 to December 2020 were included. A total of 78 patients were randomly allocated to 4 groups receiving 0, 100, 200, or 300 mL of carbohydrate loading 2 h before anesthesia induction. Gastric volume

resultsNo significant difference was found in GV/W among the groups before anesthesia induction (

conclusionPreoperative carbohydrate loading < 300 mL 2 h before induction of anesthesia in patients with T2D did not affect GV or increase the risk of reflux and aspiration. Blood glucose levels did not change significantly with preoperative carbohydrate loading of < 200 mL. However, 300 mL carbohydrate loading may increase blood glucose levels in patients with T2D before induction of anesthesia.

Indexed as

Carbohydrate loadingGastric volumeHyperglycemiaPreoperativeType 2 diabetesUltrasound assessment

Identifiers

PMID35949825
PMCPMC9254193
OpenAlexW4282959290

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.