title: Paravertebral block during cholecystectomy: effects on circulatory and hormonal responses.
abstract: Surgical trauma induces a hormonal metabolic response which is partly responsible for postoperative catabolism. In this study 12 patients underwent cholecystectomy during isoflurane anaesthesia, six with a paravertebral block (PVB) in addition. Plasma concentrations of glucose, cortisol and adrenaline, and heart rate and arterial pressure were compared between the two groups. The patients with PVB showed a significantly diminished response to noxious stimuli.
authors.affiliation: Department of Anaesthesiology, Karolinska Institute, Karolinska Hospital, Stockholm, Sweden.
authors.forename: K
authors.initials: K
authors.lastname: Giesecke
authors.forename: B
authors.initials: B
authors.lastname: Hamberger
authors.forename: P O
authors.initials: PO
authors.lastname: Järnberg
authors.forename: C
authors.initials: C
authors.lastname: Klingstedt
mesh_terms: D000328:Adult; D001340:Autonomic Nerve Block; D001786:Blood Glucose / Q000378:metabolism*; D001794:Blood Pressure; D002763:Cholecystectomy; D004837:Epinephrine / Q000097:blood*; D005260:Female; D006339:Heart Rate; D006801:Humans; D006854:Hydrocortisone / Q000097:blood*; D007432:Intraoperative Period; D008297:Male; D008875:Middle Aged
chemical_list: D001786:Blood Glucose; D006854:Hydrocortisone; D004837:Epinephrine