LOCAL ANALGESIA PREVENTS THE CORTISOL AND GLYCEMIC RESPONSES TO CATARACT-SURGERY

被引:30
作者
BARKER, JP
ROBINSON, PN
VAFIDIS, GC
HART, GR
SAPSEDBYRNE, S
HALL, GM
机构
[1] HAMMERSMITH HOSP,ROYAL POSTGRAD MED SCH,DEPT ANAESTHET,LONDON W12 0HS,ENGLAND
[2] EDGWARE GEN HOSP,DEPT ANAESTHET,EDGWARE HA8 0AD,MIDDX,ENGLAND
[3] EDGWARE GEN HOSP,DEPT OPHTHALM SURG,EDGWARE HA8 0AD,MIDDX,ENGLAND
[4] HAMMERSMITH HOSP,ROYAL POSTGRAD MED SCH,DEPT MED,LONDON W12 0HS,ENGLAND
关键词
Anaesthetic techniques: regional; retrobulbar; Hormones: cortisol; Surgery:; ophthalmological; cataract; endocrine and metabolic response;
D O I
10.1093/bja/64.4.442
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Summary: We studied the metabolic and hormonal responses to cataract surgery in 18 elderly patients, allocated randomly to receive either general anaesthesia or local analgesia by means of a retrobulbar block. Local analgesia prevented the increases in circulating cortisol and glucose concentrations found in those patients who received general anaesthesia. The results show that complete afferent sensory block of the operative site inhibited endocrine and metabolic responses to ophthalmic surgery. © 1990 British Journal of Anaesthesia.
引用
收藏
页码:442 / 445
页数:4
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