Effects of general anaesthesia and surgery on renal function and plasma adh levels

Ishihara, Hironori; Ishida, Kazuhiro; Uyama, Taichi; Kudo, Tsuyoshi; Kudo, M

doi:10.1007/bf03005655

Cited by 39 publications

(10 citation statements)

References 16 publications

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“…During surgery for the suprasellar tumor the increase in plasma AVP concentration was considerably smaller than that seen during abdominal surgery (3,4,5). The cause of increased AVP secretion during surgery is not fully understood.…”

Section: Discussionmentioning

confidence: 96%

Plasma Vasopressin, Cortisol, and Growth Hormone Concentrations in Relation to Surgery in the Suprasellar Region

Sørensen

Hammer

Lindholm

et al. 1984

Journal of Internal Medicine

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Posterior and anterior pituitary functions were assessed in 8 patients before, during, and after surgery for tumors in the suprasellar region. Preoperatively, all patients but one responded adequately to an osmotic stimulus with a rise in plasma vasopressin (AVP) and all but one showed adequate cortisol response to adrenocorticotropic hormone (ACTH) and hypoglycemia. During surgery a transient rise was seen in plasma levels of AVP (5 out of 8 patients), cortisol (7 out of 8 patients) and growth hormone (4 out of 8 patients). This response could be predicted from the preoperative stimulation tests. Postoperatively the AVP response to osmotic stimuli was impaired in 4 out of 5 patients, although urine volume had returned to normal after a transient polyuric phase. The response of plasma cortisol to ACTH was still adequate but lower than preoperatively.

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Section: Discussionmentioning

confidence: 96%

Plasma Vasopressin, Cortisol, and Growth Hormone Concentrations in Relation to Surgery in the Suprasellar Region

Sørensen

Hammer

Lindholm

et al. 1984

Journal of Internal Medicine

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“…4 ADH promotes fluid retention and natriuresis. Clinical signs due to central nervous system (CNS) cellular dehydration and hemorrhage (e.g., vomiting, muscle secretion lasting from one to four days.…”

Section: Hypernatremiamentioning

confidence: 99%

Postoperative monitoring and management of complications

Beatty¹,

Barrs²

2014

Feline Soft Tissue and General Surgery

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“…Bei gesunden Probanden konnte die Plasmaproteinfiltration aus dem Gefäßbett durch einen intravasal applizierten Kolloidbolus erheblich gesteigert werden [115]. Zusätzlich vermindern intravasale Flüssigkeitsboli die Sekretion von ADH und Aldosteron, die Inhibierung des Renin-Angiotensin-II-Systems scheint ebenfalls eine wichtige Rolle bei der Ausscheidung überschüssiger Volumina zu spielen [3,4,65]. ANP wirkt auf die Sekretion dieser Hormone zusätzlich hemmend, so dass ihm eine zentrale Rolle im Rahmen der physiologischen Antwort auf akute Volumenbelastungen zugeschrieben werden kann [105].…”

Section: Endokrine Antwort Auf Hypervolämieunclassified

Determinanten des insensiblen Flüssigkeitsverlustes

et al. 2007

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Accurate perioperative fluid balance is the basis of a targeted infusion regimen. However, neither the initial status nor perioperative changes of the fluid compartments can be reliably measured in daily routine. In particular, insensible losses are not consistently assessed, so that substitution therapy is generally empirical. The object of this paper is to communicate the scientific data on this topic. Preoperative fasting (10 h) does not per se cause intravascular hypovolemia. In adults, total basal evaporation by way of the skin and airways and of any wounds during major abdominal interventions is usually less than 1 ml/kg/h. An inconstant fluid and protein shift towards the interstitial space perioperatively seems to be associated with hypervolemia, which suggests it should be preventable. The decisive factor in this context seems to be deterioration of the endothelial glycocalyx, whose further patho-physiological impact is currently only partially known. Clinical studies have revealed a link between fluid restriction and improved outcome after major abdominal surgery.

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Effects of general anaesthesia and surgery on renal function and plasma adh levels

Cited by 39 publications

References 16 publications

Plasma Vasopressin, Cortisol, and Growth Hormone Concentrations in Relation to Surgery in the Suprasellar Region

Plasma Vasopressin, Cortisol, and Growth Hormone Concentrations in Relation to Surgery in the Suprasellar Region

Postoperative monitoring and management of complications

Determinanten des insensiblen Flüssigkeitsverlustes

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