[Plasma antidiuretic hormone level as an indicator of perioperative stress (Part I) (author's transl)].
The secretion of antidiuretic hormone (ADH) is mainly influenced by changes in osmolality and blood volume. In addition stress and surgical trauma may cause an elevation in plasma-ADH levels. In 20 patients scheduled for similar surgical procedures two different anaesthesia techniques were applied: in group 1 (n = 10) a combination of peridural anaesthesia and neuroleptanalgesia (PDA/NLA) was performed, in group 2 halothane anaesthesia with intubation was used. The perioperative control of plasma-ADH levels demonstrated a smaller increase in group 1 (PDA/NLA) compared to group 2 (Halothane), thus implicating a better attenuation of stress and pain.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000767:Anesthesia, Epidural; D000769:Anesthesia, Inhalation; D005260:Female; D006221:Halothane; D006801:Humans; D008297:Male; D008875:Middle Aged; D009458:Neuroleptanalgesia; D012964:Sodium / Q000097:blood; D013312:Stress, Physiological / Q000097:blood*; D013514:Surgical Procedures, Operative; D014667:Vasopressins / Q000097:blood*; D014882:Water-Electrolyte Balance / Q000187:drug effects
D014667:Vasopressins; D012964:Sodium; D006221:Halothane
Plasma-ADH-Spiegel als perioperativer Stressparameter. I. Mitteilung.