الفهرس 
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Abstract
Infants and neonates are at particular risk of hypoglycemia when suffering from sepsis, asphyxia and hypothermia. A prospective study showed that up to 20% of preterm infants who were ready for discharge were still at risk of hypoglycemia when a feed was delayed. In contrast, surgery and critical illness may cause hyperglycemia.
Hyperglycemia is harmful to the nervous system, especially when associated with ischemia or hypoxia, and may additionally lead to an osmotic diuresis with subsequent dehydration.
Careful glucose management is therefore required in neonates and infants, especially in infants with co-morbidities. Under anesthesia the metabolic rate, and therefore demand, decreases while the stress response leads to an increase in endogenous glucose production.
The aim of this study is to Assessment of glucose containing solutions 2.5 % as a maintenance fluid management intra operative in infants undergoing hernia repair as regard hyperglycemia and hypoglycemia.
The study was conducted on 100 randomly chosen patients aged from 28 days to 1 year, American Society of
Anesthesiologists (ASA) class I scheduled for elective open inguinal hernia repair. in Ain Shams University Hospitals after approval of the medical ethical committee. They were allocated in two groups of 50 patients each:
Ringer lactate Group: patients received ringer lactate as maintenance fluid therapy according to body weight
Glucose containing solution: patients received glucose containing solution 2.5% as maintenance fluid therapy according to body weight
The two groups were adequately monitored and assessed intra- and post-operatively and they were compared regarding peri-operative random blood sugar till two hours post operative, Demographic data and post operative hemodynamic were also assessed.
The results of the study revealed that 12% of patients receiving glucose containing solution 2.5 % had simple hyperglycemia with no hypoglycemic patients recorded while the other group with ringer lactate 2% of patients had simple hyperglycemia and 4% of patients had hypoglycemia.