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Pathophysiology of Intra- and Postoperative Stress

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Endocrinology in Anaesthesia and Surgery

Abstract

Leriche presented one of the synonymes for stress. In our opinion his term, postaggression syndrom, best describes the change in metabolism relative to the normal situation. The stress factor is the aggressor and the reaction of the organism toward this danger is a reaction in the sense of offence al well as defence. The aim is survival that is to reach the next moment but not to make preperations for the future. While pain and scares are stress factores which elucidate reactions for seconds, minutes, or also a few hours, there are stimuli which create, with or without consciousness or psychic modulation, long term changes in metabolism.

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References

  1. Anderson E, Rioch D Mc K, Haymaker W (1952) Disturbances in blood sugar regulation in animals subjected to transsection on the brain stem. Acta Neuroveg 5:132

    Article  CAS  Google Scholar 

  2. Bernard C (1849) Chiens rendus diabetiques. Compt Rend Soc Biol 1:60

    Google Scholar 

  3. Booth DA, Doons EE, Miller NE (1969) Blood glucose responses to electrical stimulation of the hypothalamic feeding area. Physiol Behavior 4:991

    Article  CAS  Google Scholar 

  4. Campfield LA, Renold AE (1975) The effects of physiological concentrations of norepinephrine. Diabetologica 11:335

    Google Scholar 

  5. Davis L, Cleveland D, Ingrim WR (1935) Carbohydrate metabolism. Arch Neurol Psych 33:592

    Google Scholar 

  6. Donhoffer C, Mc Leod JJR (1932) Studies in the nervous control of carbohydrate metabolism. I. The position of the centre. Proc Roy Soc 110:125. II. The chemical changes set up in the body during decerebration hyperglycemia. Proc Roy Soc 110:141. III. The nature of the mechanism of the nerve control. Proc Roy Soc 110:158

    Google Scholar 

  7. Eckart J, Wolfram G, Müller-Wecker H, Schaaf H (1978) Das Verhalten der Linolsäure in den Lipid-fraktionen des Serums bei Intensivpatienten. In: Eckart J, Heuckenkamp P-U, Weinheimer B (Hrsg) Grundlagen und neue Aspekte der parenteralen und Sondenernährung. INA Bd 13, Thieme, Stuttgart, S 227

    Google Scholar 

  8. Esterhuizen AC, Howell SL (1970) Ultrastructure of the A-cells of cat islets of Langerhans following sympathetic stimulation of glucagon secretion. J Cell Biol 46:593

    Article  PubMed  CAS  Google Scholar 

  9. Frerichs H, Creutzfeldt W (1971) Physiologische und pharmakologische Beeinflußung der Insulinsekretion. Med Klin 66:1039

    PubMed  CAS  Google Scholar 

  10. Frohman LA, Bernadis LL (1971) Effect of hypothalamic stimulation on plasma glucose, insulin and glucagon levels. Am J Physiol 221:1596

    PubMed  CAS  Google Scholar 

  11. Grote E (1976) Zentralnervöse Regulation und Dysregulation der Glukosehomöostase beim Menschen. Habilitationsschrift

    Google Scholar 

  12. Grünert A, Olbermann M, Grünert-Fuchs M (1976) Serumkonzentration der endogenen freigesetzten einzelnen Nichtesterfettsäuren bei Intensivpflegepatienten. Infusionstherapie 3:337

    Google Scholar 

  13. Grünert A, Olbermann M, Grünert-Fuchs M (1976) Serumkonzentrationen der einzelnen Nichtesterfettsäuren bei Patienten nach Kardioversion und akutem Myokardinfarkt. ed Welt 27:1304

    Google Scholar 

  14. Himsworth RL (1970) Hypothalamic control of adrenalin secretion on response to insufficient glucose. J Physiol 206:441

    Google Scholar 

  15. Iversen J (1973) Adrenergic receptors and the secretion of glucagon and insulin from the isolated perfused canine pancreas. Clin Invest 52:2102

    Article  CAS  Google Scholar 

  16. Lohninger A, Weigl K, Heinkelmann W, Zekert F, Blümel G (1976) Fettsäuremuster der Lipidfrak-tionen im Blut (1. Teil: Polytraumatisierte Patienten) Med Welt 27:870

    PubMed  CAS  Google Scholar 

  17. Luycks AS (1974) Secretion de l’insuline et de glucagon. Etude clinique et experimentale. Contribution du system nerveux autonome orthosympatique a l’elevation de la glucagonemie au course de la mage forcée chez le vent. Masson & Cie. Paris

    Google Scholar 

  18. Mehnert H, Schöffling K (Hrsg) (1974) Diabetologie in Klinik und Praxis. Thieme, Stuttgart

    Google Scholar 

  19. Mellamby J (1919/20) The influence of the nervous system on glycemia and glycosuria. J Physiol 531

    Google Scholar 

  20. Oomura Y, Ono T, Ooyama H, Wayner MJ (1969) Glucose and osmosensitive neurones of the rat hypothalamus. Nature 222:282

    Article  PubMed  CAS  Google Scholar 

  21. Pfeiffer EF (1969) Die Insulinsekretion — Stimulierung und Hemmung. In: (Hrsg) Verhdlg Dtsch Ges Inn Med Schlegel B 76. Kongr Wiesbaden, S 32–51

    Google Scholar 

  22. Porte D jr (1969) Sympathetic regulation of insulin secretion Arch Int Med 123:25 2

    Google Scholar 

  23. Reiss E (1950) Experimenteller Beitrag zur Frage der zentral nervösen Steuerung des Kohlenhydratstoffwechsels. Acta Neuroveg Bd 2 Springer, Wien, S 40

    Google Scholar 

  24. Sano K, Mayanagi Y, Sekino H, Ogashiva M, Ishijima B (1970) Results of stimulation and destruction of the posterior hypothalamus in man. J Neurosurg 33:689

    Article  PubMed  CAS  Google Scholar 

  25. Shimazu T (1967) Glycogen synthease activity in liver: regulation by the autonomic system. Science 156:1256

    Article  PubMed  CAS  Google Scholar 

  26. Stewart GN, Rogoff JM (1918) The relation of the adrenalin to piqure hyperglycemia and to the glycogen content of the liver. Am J Physiol 46:90

    CAS  Google Scholar 

  27. Troll U, Rittmeyer P (1973/74) Veränderungen im Fettsäuremuster der Serumgesamtlipide bei Ka-tabolie. Infusionstherapie 3:230

    Google Scholar 

  28. Vrba R (1962) Glucose metabolism in rat brain in vivo. Nature 195:663–665

    Article  PubMed  CAS  Google Scholar 

  29. Wilmore DW, Lindsey CA, Moyland JA, Faloona GR, Pruitt BA, Unger RH (1974) Hyperglucagonemia after burns. Lancet 1:73

    Article  PubMed  CAS  Google Scholar 

  30. Wolfram G, Zöllner N (1971) Der Linolsäurebedarf des Menschen. In: (Hrsg) Wiss. Veröffentl dtsch Ges Ernährung, Bd XXII, Zöllner N, Steinkopff, Darmstadt S 51

    Google Scholar 

  31. Wolfram G, Eckard J, Zöllner N (1976) Linolsäureabfall in den Lipidfraktionen des Serums bei akuten schweren Krankheiten. Verh dtsch Ges inn Med 82:859

    PubMed  CAS  Google Scholar 

  32. Yamada E (1965) Some oberservations on the nerve terminal of the liver parenchymal cell of the mouse as revealed by electron microscopy. Okajomas Fol Anat Jap 40:663

    CAS  Google Scholar 

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Authors
  1. G. Wesemann
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  2. E. Grote
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Editor information

Editors and Affiliations

  1. Institut für Anaesthesiologie der Universität Bonn, Sigmund-Freud-Straße 25, D-5300, Bonn-Venusberg, Germany

    Horst Stoeckel  & Guido Hack  & 

  2. Dept. of Anaesthesiology, University of Hirosaki, Japan

    Tsutomu Oyama

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© 1980 Springer-Verlag Berlin Heidelberg

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Wesemann, G., Grote, E. (1980). Pathophysiology of Intra- and Postoperative Stress. In: Stoeckel, H., Oyama, T., Hack, G. (eds) Endocrinology in Anaesthesia and Surgery. Anaesthesiologie und Intensivmedizin / Anaesthesiology and Intensive Care Medicine, vol 132. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67745-8_2

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  • DOI: https://doi.org/10.1007/978-3-642-67745-8_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-10211-3

  • Online ISBN: 978-3-642-67745-8

  • eBook Packages: Springer Book Archive

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