| The Effect of Preoperative Starvation , Emotional Stress , Anesthetic Agents and Postoperative Pain on Blood Sugar Level during Anesthesia . |
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Dong Chan Kim, Hyeong Ku Lee, Sang Kyi Lee, Huhn Choe |
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Department of Anesthesiology, Chonbuk National University Medical School, Chonju, Korea. |
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| Abstract |
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Blood sugar levels were measured in patients anesthetized with halothane and compared to those with Thalamonal. The effect of preoperative starvation, surgical and anesthetic tension and postoperative pain on the level of blood sugar were also studied. The results were as follows: 1) None of the patient has showed hypoglycemia of under 60mg% by 10~14 hours of fasting before anesthesia. 2) Preoperative apprehension or anxiety without premedication had not seemed to raise the blood sugar level. 3) At 15 minutes after induction, increase in blood sugar level was remarkable in Thalsmonal group, while it was insignificant in halothane group(p<0.01). 4) At 5 minutes after skin incision, there was again a remarkable increase in blood sugar level in Thalsmonal group and insignificant change in halothane group. 5) At 1 hour after induction, blood sugar level has increased significantly in both group(p<0.01). 6) At 30 minutes after termination of anesthesia, blood sugar levels were significantly high compared to preoperative levels. 7) There was no significant difference in change in blood sugar level between two groups. 8) Conclusively, surgery and/or anesthesia regardless of agents could be stressful enough to cause elevation of blood sugar level but it did not seem to cause clinically significant hyperglycemia because all the blood sugar values obtained from this study were within 60 to 200mg%. |
| Key Words:
Halothane; Thalamonal; Blood sugar level |
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