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2009, Number 4

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Rev Mex Anest 2009; 32 (4)

Blood glucose levels in patients with preventive analgesia scheduled for otolaryngology surgery

Briseño-Medina C, Castellanos-Olivares A

Language: Spanish
References: 15
Page: 247-252
PDF size: 58.89 Kb.


ABSTRACT

Introduction: Surgery, being a form of injury, evokes a metabolic, hemodynamic, endocrine similar, and reproducible reaction resulting in hyperglycemia, which varies with the degree of trauma. It occurs in response to the action of counterregulatory hormones and breakdown products of arachidonic acid in the body. Objective: This study was undertaken to assess the effects of preemptive analgesia in serum glucose levels, understanding it as a measure of the metabolic response to trauma. Design: Longitudinal, experimental, prospective, comparative, randomized, controlled clinical trial. Material and methods: 40 patients undergoing otolaryngology surgery were studied, they were divided into 2 groups. Group 1: no preventive analgesia; Group 2: with preemptive analgesia. A t-test for pre-and post-anesthetic blood sugar variable was performed. Results: A statistically significant (p = 0.001) decrease in post-anesthetic blood sugar levels was observed in patients who received preemptive analgesia. Conclusions: The levels of blood glucose in response to surgical trauma and/or metabolic response to trauma are diminished by the beneficial effects of preemptive analgesia.


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