Paravertebral block during cholecystectomy: effects on circulatory and hormonal responses.
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.
Giesecke
K
K
Department of Anaesthesiology, Karolinska Institute, Karolinska Hospital, Stockholm, Sweden.
Hamberger
B
B
Järnberg
P O
PO
Klingstedt
C
C
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
D001786:Blood Glucose; D006854:Hydrocortisone; D004837:Epinephrine