Comparison of pneumoperitoneum and abdominal wall lifting as to hemodynamics and surgical stress response during laparoscopic cholecystectomy

1998 ◽  
Vol 12 (2) ◽  
pp. 124-128 ◽  
Author(s):  
K. Ninomiya ◽  
S. Kitano ◽  
T. Yoshida ◽  
T. Bandoh ◽  
D. Baatar ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Stress Response ◽  
Abdominal Wall ◽  
Surgical Stress ◽  
Surgical Stress Response ◽  
Abdominal Wall Lifting

scholarly journals STRESS-LIMITING ANESTHESIA IN OPHTHALMOSURGERY

World Science ◽  
2021 ◽  
Author(s):  
Mynka N. V. ◽  
Kobelyatskyy Yu. Yu.
Keyword(s):  
Blood Glucose ◽  
Stress Response ◽  
General Anesthesia ◽  
Surgical Stress ◽  
Pain Syndrome ◽  
Control Group ◽  
Surgical Trauma ◽  
Complete Protection ◽  
Surgical Stress Response ◽  
Anesthesia Group

Despite the significant advances made by modern anesthesiology in the perioperative management of patients, surgical interventions are still accompanied by a high proportion of complications and even deaths. At the same time, it is known that in 50% of cases mortality and serious postoperative complications could be prevented. After performing a thorough study of the factors affecting the increase in hospitalization and postoperative recovery (Kehlet H., 1997; Kehlet H., Wilmore D., 2002), it was determined that the surgical stress response is the most significant inducer of dysfunction of various organs. and systems. To date, it has been established that general anesthesia in its classical sense does not allow achieving complete protection of the patient from surgical trauma. More complete protection can be achieved by combining general anesthesia with regional blockages and adjuvant drugs with stress-protective properties. In the present study, we compared the severity of the surgical stress response and pain syndrome in patients operated on under conditions of multicomponent balanced general anesthesia (group K) with patients who received a stress-limiting anesthesia regimen (group DB). In both groups, multicomponent anesthesia was performed, in group K, sibazone was used for sedation, in group DB, dexmedetomidine was used. Also, patients of the DB group underwent regional blockade (blockade of the pterygo-palatine fossa) before surgery. The main criteria for evaluating the results were: hemodynamic stability, blood glucose, the level of venous blood leukocytes and the severity of pain according to the VAS in the postoperative period. Both schemes made it possible to avoid pronounced fluctuations in hemodynamic and gas exchange parameters at all stages of the study. When analyzing blood glucose and leukocyte counts, it was found that patients in the control group had a more significant deviation of both indicators from the preoperative level than in the stress-limiting anesthesia group. In the study of pain syndrome, it was determined that in the control group the level of pain according to the VAS was higher at all stages of the study compared to patients in the group of stress-limiting anesthesia.

scholarly journals Surgical stress response and promotion of metastasis in colorectal cancer: a complex and heterogeneous process

2018 ◽  
Vol 35 (4) ◽  
pp. 333-345 ◽  
Author(s):  
Corina Behrenbruch ◽  
Carolyn Shembrey ◽  
Sophie Paquet-Fifield ◽  
Christina Mølck ◽  
Hyun-Jung Cho ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Stress Response ◽  
Surgical Stress ◽  
Surgical Stress Response ◽  
Heterogeneous Process

Surgical Stress Response and Postoperative Immune Function After Laparoscopy or Open Surgery With Fast Track or Standard Perioperative Care

2012 ◽  
Vol 255 (2) ◽  
pp. 216-221 ◽  
Author(s):  
A. A. F. A. Veenhof ◽  
M. S. Vlug ◽  
M. H. G. M. van der Pas ◽  
C. Sietses ◽  
D. L. van der Peet ◽  
...  
Keyword(s):  
Stress Response ◽  
Immune Function ◽  
Perioperative Care ◽  
Open Surgery ◽  
Fast Track ◽  
Surgical Stress ◽  
Surgical Stress Response

Serum leptin, cortisol and malondialdehyde levels for evaluation of surgical stress response in general and spinal anesthesia

2005 ◽  
Vol 22 (Supplement 34) ◽  
pp. 156
Author(s):  
A. A. Altunkan ◽  
H. Birbiçer ◽  
S. Atici ◽  
ZÖ. Altunkan ◽  
L. Tamer ◽  
...  
Keyword(s):  
Stress Response ◽  
Spinal Anesthesia ◽  
Surgical Stress ◽  
Serum Leptin ◽  
Surgical Stress Response

Endocrinology, metabolism, and body temperature

2014 ◽  
Author(s):  
Jeremy Prout ◽  
Tanya Jones ◽  
Daniel Martin
Keyword(s):  
Clinical Practice ◽  
Stress Response ◽  
Body Temperature ◽  
Therapeutic Hypothermia ◽  
Adrenal Cortex ◽  
Diabetic Complications ◽  
Perioperative Management ◽  
Surgical Stress ◽  
Surgical Stress Response ◽  
Current Guidelines

This chapter summarizes endocrine physiology that is of particular relevance to anaesthesia. Disorders of the adrenal cortex and medulla, pituitary and thyroid are described with perioperative management considerations highlighted. Current guidelines in perioperative steroid replacement are included. Diabetes is a particularly common problem encountered in clinical practice. Diabetic complications, pre-assessment and perioperative management aims are included. The surgical stress response is summarized with details of the neuroendocrine changes and their modification with anaesthetic technique. Consequences of perioperative hypothermia and use of therapeutic hypothermia are detailed.

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