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Quantitation of Surgical Stress by the Use of Blood and Tissue Glucose and Glycolytic Metabolite Levels
  1. Hengo Haljamäe, MD, PhD
  1. From the Department of Anesthesiology, Salhgren's Hospital, Gothenburg, Sweden.


An increased substrate mobilization is consistently seen during surgical stress due to an activation of the neuroendocrine system. Age-dependent quantitative and qualitative changes within various organs will, however, affect the magnitude of the metabolic response. The severity of a stress reaction can, therefore, not be quantitated from the substrate levels unless individuals of similar age and nutritional status are studied.

  • Surgical stress
  • measurement
  • Neuroendocrine system
  • Metabolic response

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