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The goal of this Randomized controlled trial is to investigate the effect of shortening the duration of preoperative oral carbohydrate drinks on blood pressure after anesthesia induction in elderly patients undergoing joint replacement surgery. The main question it aims to answer is Whether preoperative oral carbohydrate drinks can reduce the incidence of hypotension after anesthesia-induced hypotension in elderly patients undergoing joint replacement surgery.According to the numerical table method, the patients in the experimental group will drink carbohydrate drinks the night before the operation and 3 hours before the operation, and the control group patients will routinely fast
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Carbohydrate group | Experimental | Fasting at 20:00 on the eve of surgery, give 800ml of carbohydrate drink, the patient drinks freely, no more than 200ml per hour, to 3h before surgery, give carbohydrate drink again, according to 5ml/kg calculated dose, maximum 400ml, drink within 30 minutes. |
|
| Contral group | No Intervention | Fasting at 20:00 on the eve of surgery, fasting at 24:00, until the induction of anesthesia on the day of surgery |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Carbohydrate | Dietary Supplement | To ensure the safety of the trial, preoperative gastric ultrasound measurements will be performed on all patients to assess their gastric volume. See above for other details |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of hypotension | No surgical manipulation is performed within 20 minutes | 20 minutes after induction of anesthesia |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of fasting and drinking | 1 day before the operation | |
| Antral cross-sectional area | 30 minutes before anesthesia induction | |
| Incidence of hypotension |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| chaomin wu, doctor | Contact | 15990027747 | cmwu@zju.edu.cn | |
| min yan, prof. | Contact | zryanmin@zju.edu.cn |
| Name | Affiliation | Role |
|---|---|---|
| min yan, prof. | The second affiliated hospital of Zhejiang University hangzhou | Study Chair |
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| during the whole operation |
| The dosage of vasoactive drugs | 20 minutes after induction of anesthesia |
| Thirst and hunger VAS score | 3 hours before and 1 day after the operation |
| Fasting blood glucose and insulin resistance index | 3 hours before the operation |
| Incidence of nausea and vomiting | 1 day after the operation |
| ID | Term |
|---|---|
| D002241 | Carbohydrates |
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