Low-dose insulin infusion and substrate mobilization during surgery.

Abstract:

:The effects of the i.v. infusion of insulin, 70 mu. kg-1h-1 for the first 60 min and 35 mu. kg-1h-1 subsequently, on the metabolic and endocrine responses to gynaecological surgery were investigated. In comparison with a control group of patients, the insulin infusion caused a marked decrease in circulating glucose, non-esterified fatty acids and beta-hydroxybutyrate concentrations, and an increase in blood lactate values. The plasma cortisol response to surgery was unaffected by the decrease in blood glucose, but the growth hormone response was increased. Heart rates and arterial pressures during surgery were not altered by the metabolic changes associated with insulin infusion, but there was a greater decrease in aural temperature. The results demonstrate the importance of insulin suppression during surgery in mediating changes in circulating metabolites.

journal_name

Br J Anaesth

authors

Hall GM,Walsh ES,Paterson JL,Mashiter K

doi

10.1093/bja/55.10.939

subject

Has Abstract

pub_date

1983-10-01 00:00:00

pages

939-45

issue

10

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)42452-4

journal_volume

55

pub_type

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