Laparoscopy ? a stressful procedure
| Autor: | D. Murphy, G. M. Cooper, I. D. Ward, A. M. Scoggins |
|---|---|
| Rok vydání: | 1982 |
| Předmět: |
Adult
Blood Glucose Hydrocortisone Fatty Acids Nonesterified Fentanyl Stress Physiological medicine Humans Lactic Acid Intraoperative Complications Laparoscopy medicine.diagnostic_test business.industry Significant difference Liter Prolactin Anesthesiology and Pain Medicine Plasma cortisol Alfaxalone Alfadolone Mixture Growth Hormone Anesthesia Lactates Female business Hormone Hormonal response medicine.drug |
| Zdroj: | Anaesthesia. 37:266-269 |
| ISSN: | 1365-2044 0003-2409 |
| Popis: | The metabolic and hormonal response to laparoscopy was investigated in 22 patients, in whom nitrous oxide-oxygen anaesthesia was supplemented with either 150 micrograms fentanyl or an Althesin infusion. There were significant increases in plasma cortisol (p less than 0.05) from 303 to 458 mmol/litre and prolactin from 1869 to 3918 mU/litre (p less than 0.01) at the end of laparoscopy in both groups of patients; these were sustained during the first hour of the recovery period. The blood glucose concentration increased significantly (p less than 0.05) from 4.48 to 5.28 mmol/litre at the end of laparoscopy in the Althesin patients and remained increased 1 hour postoperatively at 5.54 mmol/litre (p less than 0.01). The blood glucose concentration increased significantly (p less than 0.05) from 4.43 to 5.36 mmol/litre in the fentanyl patients only during the recovery period. There was no significant difference between the metabolic and hormonal changes observed with the two anaesthetic techniques. |
| Databáze: | OpenAIRE |
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