Volume 2, Number 8 (8 2012)                   JAP 2012, 2(8): 158-0 | Back to browse issues page


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Hossein Madineh1, Bahman Sadeghi3 E P M R. The effect of general versus spinal anesthesia on blood sugar changesduring surgery. JAP. 2012; 2 (8) :158-0
URL: http://jap.iums.ac.ir/article-1-35-en.html

Abstract:   (3184 Views)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Aim and Background:

 

Stress of surgery transfers some neurological and hormonal signals

which triggers some physiological responses like adrenergic stimulation, increase in noradrenalin,

cortisol, growth factor, decrease in insulin and increase in insulin resistance resulting

in hyperglycemia during surgery. In this study a comparison is done between general anesthesia

which by blocking brain&aposs signals decreases reactions to the stress of surgery and hyperglycemia,

and spinal analgesia which blocks hormonal and adrenergic reactions by peripheral effect.

Methods and Materials:

 

This randomized control clinical trial study was performed on 60 ASA

I, II patients candidate of inguinal hernioraphy. The patients were randomly allocated to general

anesthesia or spinal anesthesia with T12 level. Blood sugar of the patients was measured by

glucometer 1 hour before the surgery and 1 hour and 6 hours postoperatively.

Findings:

 

There was no significant difference in blood sugar levels before the surgery between

two groups but it was lower 1and 6 hours postoperatively in spinal anesthesia group.

Conclusions:

 

Spinal analgesia more effectively controls rises in blood sugar during the surgery and may

 

 

 

Full-Text [PDF 203 kb]   (908 Downloads)    
Type of Study: Original | Subject: General

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