Does preoperative oral carbohydrate treatment reduce the postoperative surgical stress response in lumbar disc surgery?

Surgical trauma produces metabolic, hormonal and hemodynamic responses in the body. This surgical stress response is characterized by insulin resistance, gluconeogenesis, lipolysis and protein breakdown, which result in hyperglycemia and negative nitrogen balance [1]. The magnitude of these changes is proportional to the duration of pre and postoperative fasting period, type of anesthesia, magnitude of surgery, amount of preoperative blood loss, severity of postoperative pain and duration of postoperative immobilization [2 –4].

Source: Clinical Neurology and Neurosurgery - December 29, 2016 Category: Neurosurgery Authors: Ozlem Korkmaz Dilmen, Ercument Yentur, Yusuf Tunali, Huriye Balci, Mois Bahar Source Type: research