Buradasınız

Epidural Anestezi Stresinde Kortizolün Rolü

The role of cortisol in stress of epidural anesthesia

Journal Name:

Publication Year:

Keywords (Original Language):

Abstract (2. Language): 
Surgical stress response can be mild or severe related to the type of the procedure. Most often used parameter in evaluation of it is cortisol. The type of anesthesia acts the main role at this moment. Epidural anesthesia compared to general anesthesia is being more wide-spread for preventing stress response.
Abstract (Original Language): 
Cerrahiye stress yanıt cerrahi prosedürün şiddetine bağlı olarak hafifi yada şiddetli olabilir. Değerlendirilmesinde en sık kullanılan parametre kortizoldür. Kullanacağımız anaestezi türü önemli rol oynamaktadır. Epidural anestezi genel anaesteziye kıyasla stress yanıtın önlenmesinde giderek daha yaygın kul-lanı alanı bulaktadır.
7-8

REFERENCES

References: 

1- W. Seitz, N. Luebbe, W. Bechstein, K. Fritz and E. Kırchner: A Comparison of Two Types of Anaesthesia on the Endocrine and Metabolic Responses to Anaesthesia and Surgery. European Journal of Anaesthesiology 1986; 3:283-94.
2- Kehlet H: The stress response to surgery: release mechanisms and the modifying effect of pain relief. Acta Chir Scand 1988; 550:22-8.
3- Greenspeen F, Forsham P: Basic and Clinical Endocrinology. 2nd Edition, Lange Medical Publication, California, 326-330, 2002.
4- Atalay H, Tanrıverdi B. Postoperatif analjezide epidural morfin, fentanil ve intramuskuler dipironun değerlendirilmesi Ağrı 7(2): 22-31, 1995.
5- Wasnick J, Hurford W: Epidural Opioid Analgesia does not alter the neuroendocrine response to thoraco-tomy. Anesthesia Analgesia 1990; 70:422-3.
6- Powell H, Ross PL, Simpson PJ. Stress Response to Trauma and Surgery: British Journal of Anaesthesia 85(1):109-117, 2000
7- Adams HA, Saatweber P, Schmitz CS, Hecker H: Postoperative pain management in orthopedic patients: no differences in pain score, but improved stress control by epidural anaesthesia: Eur J
Anaesthesiol 2002; 19:658-65.
8- Smeets HJ, Kievit MJ, Dulfer FT, Van Kleef JW: Endocrine-Metabolic Response to Abdominal Aortic Surgery: A Randomized Trial of General Anaesthesia versus General Plus Epidural Anaesthesia : World Journal of Surgery 1993; 17:601-7.
9- Hagen C, Brandt MR, Kehlet H: Prolactin, LH,
FSH, GH and cortisol response to surgery and the effect of epidural analgesia: Acta Endocrinologica 1980; 94:151-4.
10- Salerno R, Forti G, Busoni P, Casadio C: Effects of surgery and general or epidural anaesthesia on plasma levels of cortisol, growth hormone and pro-lactin in infants under one year of age: J Endocrinol Invest 1989; 12:617-21.

Thank you for copying data from http://www.arastirmax.com