Prevalence of and Risk Factors for Intraoperative Non-Euglycemia Events in Premature Neonates <2500 Grams

2.50
Hdl Handle:
http://hdl.handle.net/10755/154877
Type:
Presentation
Title:
Prevalence of and Risk Factors for Intraoperative Non-Euglycemia Events in Premature Neonates <2500 Grams
Abstract:
Prevalence of and Risk Factors for Intraoperative Non-Euglycemia Events in Premature Neonates <2500 Grams
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Ritrosky, Zulay H., DNP, CRNA
P.I. Institution Name:Florida Gulf Coast University
Title:Instructor I
[22nd International Nursing Research Congress - Research Presentation] Purpose:  This study examined the rates and  risks of premature neonates <2500grams developing intraoperative non-euglycemia events (IONEE). 
Methods:  A retrospective chart review of 26 premature neonates <2500 grams who underwent surgical procedures between January 1 and December 31, 2009 was conducted. Statistical analysis was done using Chi square and t-tests.
Results:  Ten of the 26 subjects (38%) experienced an IONEE. Hyperglycemia was the primary IONEE that was noted in the neonates.  (Mean: 143.19; sd: 56.041)  Length of surgery was significantly longer in those premature neonates with IONEE than those with euglycemia (71.7 0 +/-27.03 vs. 45.62 +/- 17.98 minutes).  All IONEE subjects received general anesthesia (n=10) while none of those with only intravenous anesthesia had an IONEE (X2 (1) = 4.875, p=.027). Subjects with IONEE had a higher mean preoperative glucose level (127.11 gm/dL +/- 31.66) than those who did not experienced IONEE (86.36 gm/dL +/- 29.39; t(21) = 3.151, p=.005). A higher proportion of subjects who developed IONEE had the capillary heel (60%) as opposed to an arterial (40%) site for blood collection (X2 (1) = 6.518, p =.001). Also, subjects free of preoperative pulmonary complications were more prone to develop IONEE (X2 (1)= 8.60, p = .003). The presence of IONEE was associated with development of metabolic acidosis (X2 (1)= 5.426, p=.020) and lower postoperative pH values (7.19 +/- 0.20 vs. 7.35 +/- 0.11).
Conclusion:  Anesthesia providers need to establish intraoperative guidelines for the monitoring and treatment of IONEE to protect these premature neonates from having complications such as developmental delay.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePrevalence of and Risk Factors for Intraoperative Non-Euglycemia Events in Premature Neonates <2500 Gramsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154877-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Prevalence of and Risk Factors for Intraoperative Non-Euglycemia Events&nbsp;in Premature Neonates &lt;2500 Grams</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Ritrosky, Zulay H., DNP, CRNA</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Florida Gulf Coast University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Instructor I</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">zritrosky@fgcu.edu</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Research Presentation] Purpose:&nbsp; This study examined the rates and &nbsp;risks of premature neonates &lt;2500grams developing intraoperative non-euglycemia events (IONEE).&nbsp; <br/>Methods: &nbsp;A retrospective chart review of 26 premature neonates &lt;2500 grams who underwent surgical procedures between January 1 and December 31, 2009 was conducted. Statistical analysis was done using Chi square and t-tests. <br/>Results:&nbsp; Ten of the 26 subjects (38%) experienced an IONEE. Hyperglycemia was the primary IONEE that was noted in the neonates.&nbsp; (Mean: 143.19; sd: 56.041)&nbsp; Length of surgery was significantly longer in those premature neonates with IONEE than those with euglycemia (71.7 0 +/-27.03 vs. 45.62 +/- 17.98 minutes).&nbsp; All IONEE subjects received general anesthesia (n=10) while none of those with only intravenous anesthesia had an IONEE (X2 (1) = 4.875, p=.027). Subjects with IONEE had a higher mean preoperative glucose level (127.11 gm/dL +/- 31.66) than those who did not experienced IONEE (86.36 gm/dL +/- 29.39; t(21) = 3.151, p=.005). A higher proportion of subjects who developed IONEE had the capillary heel (60%) as opposed to an arterial (40%) site for blood collection (X2 (1) = 6.518, p =.001). Also, subjects free of preoperative pulmonary complications were more prone to develop IONEE (X2 (1)= 8.60, p = .003). The presence of IONEE was associated with development of metabolic acidosis (X2 (1)= 5.426, p=.020) and lower postoperative pH values (7.19 +/- 0.20 vs. 7.35 +/- 0.11). <br/>Conclusion:&nbsp; Anesthesia providers need to establish intraoperative guidelines for the monitoring and treatment of IONEE to protect these premature neonates from having complications such as developmental delay.</td></tr></table>en_GB
dc.date.available2011-10-26T13:21:05Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:21:05Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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