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Pre-Op Carbohydrate Drink vs IV Dextrose/Insulin for PONV in Type 2 Diabetes Patients Undergoing TKA
July 2021
Pre-Op Carbohydrate Drink vs IV Dextrose/Insulin for PONV in Type 2 Diabetes Patients Undergoing TKA
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1
Preoperative Carbohydrate Drinks Do Not Decrease Postoperative Nausea and Vomiting in Type 2 Diabetic Patients Undergoing Total Knee Arthroplasty-A Randomized Controlled Trial
J Am Acad Orthop Surg. 2021 Jan 1;29(1): 35-43.Did you know you're eligible to earn 0.5 CME credits for reading this report? Click Here
Synopsis
Eighty-two patients with Type 2 diabetes scheduled to undergo a unilateral or bilateral total knee arthroplasty (TKA) were randomized to receive an oral drink of carbohydrates (n=41) before surgery or intravenous (IV) dextrose infusion mixed with insulin (n=41) to reduce post-operative nausea and vomiting (PONV). Main outcomes of interest included PONV, quality of recovery (QoR) measured using QoR...
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