Glucose tolerance during anaesthesia and surgery. Comparison of general and extradural anaesthesia
- PMID: 646918
- DOI: 10.1093/bja/50.5.495
Glucose tolerance during anaesthesia and surgery. Comparison of general and extradural anaesthesia
Abstract
The effects of general and extradural anaesthesia on glucose tolerance and plasma cortisol concentration in the surgical patient were assessed. Normal glucose tolerance and insulin release were observed under extradural anaesthesia, whereas general anaesthesia produced decreases in both glucose tolerance and insulin release. The plasma cortisol concentration was increased in both groups. These results indicate possible nutritional advantages in conducting surgery under extradural anaesthesia.
Similar articles
-
Postoperative glucose tolerance during extradural analgesia.Br J Anaesth. 1982 Mar;54(3):325-31. doi: 10.1093/bja/54.3.325. Br J Anaesth. 1982. PMID: 7039645 Clinical Trial.
-
Effect of epidural analgesia on glucose tolerance during surgery.Acta Anaesthesiol Scand. 1980 Dec;24(6):472-4. doi: 10.1111/j.1399-6576.1980.tb01586.x. Acta Anaesthesiol Scand. 1980. PMID: 7018156
-
A controlled comparison of the effects of extradural diamorphine and bupivacaine on plasma glucose and plasma cortisol in postoperative patients.Anesth Analg. 1982 Jan;61(1):15-8. Anesth Analg. 1982. PMID: 7198407
-
Inhibition of plasma cyclic AMP, glucose and cortisol response to surgery by epidural analgesia.Br J Surg. 1977 Sep;64(9):669-71. doi: 10.1002/bjs.1800640918. Br J Surg. 1977. PMID: 201331
-
Plasma cortisol concentrations during Caesarean section.Br J Anaesth. 1980 Oct;52(10):1027-32. doi: 10.1093/bja/52.10.1027. Br J Anaesth. 1980. PMID: 7437211
Cited by
-
The influence of anesthesia type on perioperative maternal glycemic-stress response during elective cesarean section: A prospective cohort study.Ann Med Surg (Lond). 2021 Mar 4;64:102209. doi: 10.1016/j.amsu.2021.102209. eCollection 2021 Apr. Ann Med Surg (Lond). 2021. PMID: 33747501 Free PMC article.
-
Effect of Spinal Anesthesia versus General Anesthesia on Blood Glucose Concentration in Patients Undergoing Elective Cesarean Section Surgery: A Prospective Comparative Study.Anesthesiol Res Pract. 2019 Oct 1;2019:7585043. doi: 10.1155/2019/7585043. eCollection 2019. Anesthesiol Res Pract. 2019. PMID: 31662744 Free PMC article.
-
Regional vs general anaesthesia in orthopaedics.Can J Anaesth. 1993 May;40(5 Pt 2):R104-12. doi: 10.1007/BF03020690. Can J Anaesth. 1993. PMID: 8500207 Review. English, French. No abstract available.
-
The Perioperative Neonatal and Maternal Glycemic Response and APGAR Score During Elective Cesarean Section: Factors and Anesthetic Management.Med Arch. 2025;79(1):34-40. doi: 10.5455/medarh.2025.79.34-40. Med Arch. 2025. PMID: 40322302 Free PMC article.
-
Clinical study of glucose metabolism during partial gastrectomy--comparison between epidural and general anesthesia.J Anesth. 1987 Mar 1;1(1):82-7. doi: 10.1007/s0054070010082. J Anesth. 1987. PMID: 15237309
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources