Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/21903
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dc.contributor.authorKouraklis, G.en
dc.contributor.authorGlinavou, A.en
dc.contributor.authorRaftopoulos, I.en
dc.contributor.authorAlevisou, V.en
dc.contributor.authorLagos, G.en
dc.contributor.authorKaratzas, G.en
dc.date.accessioned2015-11-24T19:18:50Z-
dc.date.available2015-11-24T19:18:50Z-
dc.identifier.issn0020-8868-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/21903-
dc.rightsDefault Licence-
dc.subjectepidural analgesiaen
dc.subjectmetabolic responseen
dc.subjectendocrine responseen
dc.subjectstressen
dc.subjectanaesthesiaen
dc.subjectmetabolic responseen
dc.subjectendocrine responseen
dc.subjectbupivacaineen
dc.subjectmorphineen
dc.subjectblockadeen
dc.subjectcholecystectomyen
dc.subjectpainen
dc.titleEpidural analgesia attenuates the systemic stress response to upper abdominal surgery: a randomized trialen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.secondary<Go to ISI>://000171003700018-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2000-
heal.abstractThe effects of combined general anaesthesia and epidural analgesia in various endocrine and metabolic parameters were studied before, during, at the end, and 72 h after upper abdominal surgery, in an effort to further elucidate the role of epidural analgesia in the endocrine and metabolic response. 50 patients were randomly assigned into groups A and B, which received general anaesthesia alone and combined general anaesthesia and epidural analgesia, respectively. The effects of surgical stress in the plasma concentration of ACTH (P <0.001), cortisol (P <0.01), aldosterone (P <0.05), FFA (P <0.05) and glucose (P <0.01) were significantly less pronounced in the group of patients who received combined general anaesthesia and epidural analgesia. However, there were no significant differences between the two groups in regard with plasma TSH, T3, T4, glucagon or Na+ concentration. These results indicate that the combination of general anaesthesia and epidural analgesia attenuate, but does not inhibit, the endocrine and metabolic response to upper abdominal surgery.en
heal.journalNameInt Surgen
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά)

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