scholarly journals Changes of Hemodynamic Parameters, Plasma Catecholamines and Vasopressin Level During Laparoscopic Cholecystectomy and in Recovery Period

2007 ◽  
Vol 24 (2 Suppl) ◽  
pp. S527-537
Author(s):  
Heung Dae Kim
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Recovery Period ◽  
Plasma Catecholamines ◽  
Hemodynamic Parameters

IMPACT OF PRE- ADMISSION EDUCATION ON RECOVERY PERIOD FOLLOWING LAPAROSCOPIC CHOLECYSTECTOMY

2018 ◽  
Vol 5 (2) ◽  
pp. 83-95
Author(s):  
Marwa Elmongy ◽  
Amany Abd-Ellateef ◽  
Hnan Mohammed
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Recovery Period

Hormonal changes and enforced diving in the harbor seal Phoca vitulina. II. Plasma catecholamines

1982 ◽  
Vol 242 (5) ◽  
pp. R528-R532 ◽  
Author(s):  
A. J. Hance ◽  
E. D. Robin ◽  
J. B. Halter ◽  
N. Lewiston ◽  
D. A. Robin ◽  
...  
Keyword(s):  
Recovery Period ◽  
Control Period ◽  
Plasma Catecholamines ◽  
Harbor Seal ◽  
Phoca Vitulina ◽  
Harbor Seals ◽  
Hormonal Changes ◽  
Inotropic Effects ◽  
Arterial Constriction

Plasma epinephrine and norepinephrine concentrations were measured in five harbor seals, Phoca vitulina, during a control period, during a 6-min dive, and during a 30-min postdiving recovery period. Measurements were performed with and without prior glucose administration. Control epinephrine concentrations [189 +/- 118 (SD) pg/ml] and norepinephrine concentrations (340 +/- 191 pg/ml) were similar to resting values in humans. During diving there are dramatic increases in both epinephrine and norepinephrine concentrations, which returned to control values by 30 min of the postdiving recovery period. A similar pattern was found after glucose infusion. The increased catecholamines were not the primary mechanism responsible for arterial constriction during the dive. Persistent diving bradycardia suggests obliteration of the chronotropic effects of catecholamines during the dive. An unchanged stroke volume suggests obliteration of the inotropic effects of catecholamines during the dive. Catecholamines do not appear to be involved in postdiving hyperglycemia and hyperglucogenemia. Neither the regulatory role of increased catecholamines nor the physiological function of increased catecholamines was apparent from the studies. However, dramatic increases in plasma catecholamines during diving appear to be an important component of the hormonal response to prolonged diving in aquatic mammals.

scholarly journals Correlations of hemodynamic parameters with plasma catecholamines in patients with congestive cardiomyopathy

1982 ◽  
Vol 5 (9) ◽  
pp. 493-499 ◽  
Author(s):  
M. Lehmann ◽  
K. Wybitul ◽  
R. Kapp ◽  
B. Spielberger ◽  
J. Keul
Keyword(s):  
Plasma Catecholamines ◽  
Hemodynamic Parameters ◽  
Congestive Cardiomyopathy

scholarly journals Comparison of the Effect of Propofol and Dexmedetomidine on Hemodynamic Parameters and Stress Response Hormones During Laparoscopic Cholecystectomy Surgery

2021 ◽  
Vol 11 (5) ◽  
Author(s):  
Ali Ghomeishi ◽  
Ahmad Reza Mohtadi ◽  
Kaveh Behaeen ◽  
Sholeh Nesioonpour ◽  
Nima Bakhtiari ◽  
...  
Keyword(s):  
Heart Rate ◽  
Laparoscopic Cholecystectomy ◽  
Stress Hormones ◽  
Endocrine System ◽  
Atrial Pressure ◽  
Hemodynamic Parameters ◽  
Hemodynamic Variables ◽  
Anesthetic Drugs ◽  
Epinephrine Level ◽  
Significant Difference

Background: General anesthesia induces endocrine, immunologic, and metabolic responses. Anesthetic drugs affect the endocrine system by changing the level of stress hormones and hemodynamic variables of the patient. Objectives: The purpose of this study was to compare the effects of propofol and dexmedetomidine on hemodynamic parameters and stress-induced hormones in laparoscopic cholecystectomy (LC) surgery. Methods: Seventy patients of elective LC were included in this study. The patients were randomly assigned into two equal groups of propofol (75 µg/kg/min) and dexmedetomidine (0.5 µg/kg/hour) as anesthesia maintenance. Hemodynamic parameters (heart rate and mean atrial pressure), blood sugar, and serum epinephrine level were monitored and recorded from pre-anesthesia period to 10 min after entry to post-anesthesia care unit (PACU) according to a planned method. Results: Heart rate and mean atrial pressure changes were significantly lower in dexmedetomidine group in all stages compared to propofol group (P < 0.001). Also, the rises in blood glucose and serum epinephrine levels in the dexmedetomidine group were significantly higher than in the propofol group (P < 0.001). Conclusions: Anesthesia maintenance by dexmedetomidine showed a significant difference in hemodynamic parameters in comparison with propofol. While dexmedetomidine had better effects on controlling hemodynamic parameters, propofol showed better effects on decreasing stress hormones, and it can be suggested for LC surgery.

The Effect of Intraperitoneal Administration of Dexamethasone on Abdominal Pain and Shoulder Pain after Selected Cholecystectomy by Laparoscopic Method

2021 ◽  
Vol 15 (12) ◽  
pp. 3589-3592
Author(s):  
Mahdi Neshan ◽  
Saeed Kargar ◽  
Seyed Mostafa Shiryazdi ◽  
Mohammad Zare ◽  
Abdolhamid Amooei ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Laparoscopic Cholecystectomy ◽  
Shoulder Pain ◽  
Strong Association ◽  
Recovery Period ◽  
Intraperitoneal Administration ◽  
Nausea And Vomiting ◽  
Control Group ◽  
Post Operation ◽  
Random Number Table

Introduction: Laparoscopic cholecystectomy is the standard treatment of cholecystitis. In comparison to open surgery, it has advantages such as a shorter recovery period and a shorter hospital stay. One of the side effects of this treatment is abdominal and shoulder pain after surgery. The purpose of this study was to see how intraperitoneal dexamethasone affects abdominal and shoulder pain following laparoscopic cholecystectomy. Methods and materials: This study included 70 patients aged 18-70 years who were candidate for laparoscopic elective cholecystectomy. Using a random number table, patients were separated into two equal groups. In the first group, after laparoscopy and before trocar removal, 20 cc of ringer serum containing 8 mg dexamethasone was sprayed in the diaphragm and peritoneal cavity, and in the second group, 20 cc ringer was sprayed. Visual analog scale (VAS) pain score was used to assess post operation pain. Results: From 6 o'clock on, there was a substantial difference in abdominal pain between the two groups, with the control group experiencing higher pain. From 12 o'clock onwards, there was a strong association between shoulder discomfort in the two groups, and patients in the control group experienced more pain. Furthermore, the control group received more opioids. Patients in the control group experienced higher nausea and vomiting starting 12 hours after surgery. Conclusion: After laparoscopic surgery, dexamethasone can relieve abdominal and shoulder discomfort, as well as nausea and vomiting, and it can also reduce the need for opioids. Dexamethasone appears to be effective in minimizing postoperative complications. Keywords: Postoperative Pain, Intraperitoneal, Dexamethasone, Laparoscopy

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