PMID: 7018156Dec 1, 1980Paper

Effect of epidural analgesia on glucose tolerance during surgery

Acta Anaesthesiologica Scandinavica
C H JensenH Kehlet

Abstract

Intravenous glucose tolerance tests were performed on 12 surgical patients the day before surgery and during surgery. Six patients were anesthetized with enflurane and six were operated on during an epidural lumbar blockade (Th8-S5). In the general anaesthesia group the plasma glucose concentration was significantly higher after the intraoperative glucose load than after the preoperative load. The pre- and intraoperative glucose tolerance tests were identical in the epidural group. Pre- and intraoperative glucose disappearance rates and plasma insulin responses were similar in the two groups, indicating that the observed differences in plasma glucose were caused by differences in hepatic glucose release, rather than differences in peripheral glucose utilization.

References

Aug 1, 1979·The British Journal of Surgery·H KehletK G Alberti
Mar 1, 1976·Clinical Endocrinology·M BrandtA S McNeilly
Jan 1, 1974·Acta Endocrinologica·H KehletC Engbaek
Jan 1, 1974·The British Journal of Surgery·P D WrightI D Johnston
Jul 1, 1969·British Journal of Anaesthesia·S P AllisonM J Chamberlain
Jan 1, 1980·Acta Anaesthesiologica Scandinavica·A EngquistS N Madsen

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Citations

Nov 2, 1984·Klinische Wochenschrift·B AllolioW Winkelmann
May 1, 1993·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·N Buckley
Oct 3, 2002·Anesthesiology·Thomas SchrickerFranco Carli
Oct 10, 2002·Regional Anesthesia and Pain Medicine·Ralph LattermannThomas Schricker
Jan 19, 2010·Anesthesia and Analgesia·Shamsuddin AkhtarSilvio E Inzucchi
Jun 1, 1983·Acta Anaesthesiologica Scandinavica·T AsohY Takeuchi
Aug 19, 2000·American Journal of Physiology. Endocrinology and Metabolism·T SchrickerF Carli
Jan 1, 1992·Annales Françaises D'anesthèsie Et De Rèanimation·C Chambrier, P Boulétreau

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