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2013, Number 1

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Invest Medicoquir 2013; 5 (1)

Surgical stress and anesthesia

Correa PJM

Language: Spanish
References: 42
Page: 142-158
PDF size: 265.95 Kb.


ABSTRACT

The surgical stress is considered as an irresponsible answer to the expressed tissue damage for autonomous, metabolic and hormonal changes that follow to the insult or to the trauma. The answer of stress consists in an important increase of the physiologic activation, cognitive and behavioral. The surgical trauma produces a series of stimuli that decides a reaction of the organism to restore the homeostasis or it counteracts the threat and that it is translated in a series of changes of conduct and physiologic changes, those which can be specific also. In the last years, it beens come to him by studying the effect of the different anesthetic techniques, as well as the anesthetic medicines on the surgical stress and is to have reached to the conclusion that the same modifies the inmunitary function when reducing the answer of stress and practice a direct effect on the inmunological cells. The surgical trauma produces a metabolic, endocrine answer, haemodinamyc and inmunological that can last days or weeks and a bit the anesthetic techniques (specially the epidural anesthesia), as used the medicines during the anesthesia, can decrease the deleterious effects of the same thing.


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