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EFFECTS OF PREOPERATIVE AMINO ACID INFUSION ON INTRAOPERATIVE TEMPERATURE AND BLOOD SUGAR LEVEL DURING SURGERY?
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- KOBAYASHI Reon
- Department of Anesthesiology, Showa University School of Medicine
Bibliographic Information
- Other Title
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- アミノ酸前投与は術中体温低下を防止できるか
- アミノサン マエトウヨ ワ ジュッチュウ タイオン テイカ オ ボウシ デキル カ
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Description
Although amino acid infusion during operations could prevent intraoperative hypothermia, it is possible that the serum insulin level will increase. The purpose of this study was to evaluate the effects of preoperative amino acid infusion on intraoperative temperature and blood sugar during hip surgery. Twenty-nine patients were divided into three groups. Ten of the patients (group A) had amino acid infusion of 5 ml·kg-1·h-1 and eight patients (group B) had amino acid infusion of 2.5 ml·kg-1·h-1 one hour before induction of anesthesia. Eleven control patients (group C) had corresponding volumes of a Lactated Ringer's solution. Esophageal temperature was measured for 120 minutes after induction of anesthesia. Blood sugar, insulin, adrenaline and noradrenaline levels were determined at 7 defined times: before amino acid infusion, immediately after induction of anesthesia, and 15, 30, 60, 90 and 120 minutes after induction of anesthesia. Temperatures decreased after induction of anesthesia in all three groups. The degree of decline in group A was smallest. In addition, the temperature in group A was significantly higher than in group C. Although group A and group B serum insulin levels transiently increased immediately after treatment, severe hypoglycemia was not observed in any group. Preoperative amino acid infusion, therefore, was shown to be effective in reducing hypothermia and it did not cause hypoglycemia during hip surgery.
Journal
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- Journal of The Showa Medical Association
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Journal of The Showa Medical Association 71 (1), 56-63, 2011
The Showa University Society
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Details 詳細情報について
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- CRID
- 1390282679814982784
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- NII Article ID
- 130002149951
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- NII Book ID
- AN00117027
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- ISSN
- 21850976
- 00374342
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- NDL BIB ID
- 11245721
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- Text Lang
- ja
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- Article Type
- departmental bulletin paper
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- Data Source
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- JaLC
- IRDB
- NDL Search
- CiNii Articles
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- Abstract License Flag
- Disallowed