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November 1, 1977The Journal of Clinical Endocrinology & Metabolism

Mechanism of Plasma Catecholamine Increases During Surgical Stress in Man

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Why the study?

Does surgical stress under halothane anesthesia increase plasma catecholamine levels in patients undergoing elective abdominal operations?

Population

8 patients undergoing elective abdominal operations and 11 normal controls

Comparison

Elective abdominal operations under halothane… vs Pre-anesthesia baseline and normal controls

Design

Cohort

Follow-up

2 hours after surgery

Authors

JHJeffrey B. HalterNational University of SingaporeAPA. Eugene PflugUnited States Department of Veterans AffairsDPDaniel PorteUniversity of California, San Diego

Discussion

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Implication

Catecholamine surges occur despite halothane in abdominal surgery; leaves open effects on perioperative risk in elective cases.

Structured PICO

Does surgical stress under halothane anesthesia increase plasma catecholamine levels in patients undergoing elective abdominal operations?

P
Population
8 patients undergoing elective abdominal operations and 11 normal controls
I
Intervention
Elective abdominal operations under halothane anesthesia
C
Comparator
Pre-anesthesia baseline and normal controls
O
Outcome
Plasma levels of norepinephrine (NE) and epinephrine (E)surrogate

Surgical stress induces significant adrenergic activation, reflected by increased plasma norepinephrine and epinephrine, which correlates with increases in mean arterial pressure and is not blocked by halothane anesthesia.

Cite This Study

Halter et al. (1977) studied this question.

synapsesocial.com/papers/6a71fac2e36a167817e398f5https://doi.org/10.1210/jcem-45-5-936
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Studies in Surgical Endocrinology III. Plasma Concentrations of Epinephrine and Nor-epinephrine in Anesthesia, Trauma and Surgery, as Measured by a Modification of the Method of Weil-Malherbe and Bone1956 · 32 citations
  2. 2ACTH LEVELS IN PLASMA IN PREOPERATIVE AND SURGICALLY STRESSED PATIENTS*1962 · 66 citations
  3. 3The Relationship between Plasma Catecholamine Concentration and Pulse Rate during Exercise and Standing1973 · 128 citations