Incidence of hypoglycemia in fasted young children referred for elective surgery

Risk factors for intraoperative hypoglycemia in children: a retrospective observational cohort study

“…Despite these data, intraoperative hypoglycemia continues to occur in children with a reported incidence of 0.7-28%. 13,[18][19][20] The hypothesis of this study was that there are subsets of children at risk of intraoperative hypoglycemia. Our objectives were 1) to describe children who have intraoperative hypoglycemia and 2) to determine independent risk factors for intraoperative hypoglycemia in children.…”

Use of definition, risks factors, and management of hypoglycemia by UK anesthesiologists

“…The aim of our multistep approach was to identify the clinical issue, 7 describe the current practice in the United Kingdom, and design a research study aiming at prospectively measure the prevalence of hypoglycemia in a large pediatric population.…”

“…However, a threshold of 3.6 mmol/L (64 mg/dL) is often used due to the risk of potential neurological harm below this value 6 . A previous pilot study run in our tertiary pediatric hospital found 8% of children below 2 years old are hypoglycemic, using this threshold 7 . A recent retrospective cohort multicenter study, found increased risk of hypoglycemia (defined as <3.3 mmol/L [60 mg/dL]) in children ≤5 years old, <5th percentile for weight, <20 kg, gastrostomy or jejunostomy fed, ASA status ≥3 and having abdominal surgery 8 .…”

“…6 A previous pilot study run in our tertiary pediatric hospital found 8% of children below 2 years old are hypoglycemic, using this threshold. 7 A recent retrospective cohort multicenter study, found increased risk of hypoglycemia (defined as <3.3 mmol/L [60 mg/dL]) in children ≤5 years old, <5th percentile for weight, <20 kg, gastrostomy or jejunostomy fed, ASA status ≥3 and having abdominal surgery. 8 A similar study found 80% of hypoglycemia cases occurred in children <3 years old and <15 kg.…”