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PREVALENCE OF AND RISK FACTORS FOR INTRAOPERATIVE NON-EUGLYCEMIA EVENTS IN PREMATURE NEONATES <2500 GRAMS
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TitlePREVALENCE OF AND RISK FACTORS FOR INTRAOPERATIVE NON-EUGLYCEMIA EVENTS IN PREMATURE NEONATES <2500 GRAMS
AuthorRitrosky, Zulay
Keywordspremature neonate
euglycemia
hyperglycemia
hypoglycemia
non-eglycemia events
AbstractABSTRACT This study examined the rates and risks of premature neonates <2500grams developing intraoperative non-euglycemia events (IONEE).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. 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). 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.
AdviserTalbert, Steve
PublisherUniversity of Central Florida
DegreeD.N.P.
Degree DisciplineSchool of Nursing
Degree GrantorOther
Degree ProgramNursing Practice DNP
Graduation Date2010-01-01
TypeDoctoral dissertation
Access LevelCampus - Allow Only UCF Community Access
Release Date2011-07-01
RepositoryUniversity Archives
Repository CollectionElectronic Theses and Dissertations
IdentifierCFE0003300
Access Linkhttp://purl.fcla.edu/fcla/etd/CFE0003300

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