Endocrinology in Anaesthesia and Surgery
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Anaesthesiologie und Intensivmedizin Anaesthesiology and Intensive Care Medicine
Herausgeber: H. Bergmann . Linz (Schriftleiter) J.B. Bruckner . Berlin R. Frey . Mainz W.P. Henschel . Bremen P. Kern . St. Gallen O. Mayrhofer . Wien K. Peter . Miinchen
Endocrinology
in Anaesthesia and Surgery
Edited by H. Stoeckel and T. Oyama with the Co-operation of G. Hack
With 101 Figures
Springer-Verlag Berlin Heidelberg New York 1980
Prof. Dr. Horst Stoeckel Institut fUr Anaesthesiologie der Universitat Bonn Sigmund-Freud-StraBe 25 D-5300 Bonn-Venusberg, FRG Prof. Dr. Tsutomu Oyama Dept. of Anaesthesiology University of Hirosaki Japan Co-operator: Doz. Dr. Guido Hack Institut fUr Anasthesiologie der Universitat Bonn Sigmund-Freud-StraBe 25 D-5300 Bonn-Venusberg, FRG
ISBN-13: 978-3-540-10211-3 001: 10.1007/978-3-642-67745-8
e-ISBN-13: 978-3-642-67745-8
This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically those of translation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying machine or similar means, and storage in data banks. Under § 54 of the German Copyright Law where copies are made for other than private use, a fee is payable to the publisher, the amount of the fee to be determined by agreement with the publisher. © by Springer-Verlag Berlin Heidelberg 1980.
The use of general descriptive names, trade marks, etc. in this publication, even if the former are not especially identified, is not be taken as a sign that such names, as understood by the Trade Marks and Merchandise Marks Act, may accordingly be used freely by anyone. Typesetting: Schreibsatz Service Weihrauch, Wiirzburg 2127/3321-543210
Preface
The development of accurate hormonal assays in recent years has evoked much interest in the area of anaesthesia and surgery. In an effort to allow an exchange of ideas and new information in this area, the First International Symposium on Endocrinology in Anaesthesia and Surgery was held in Bonn during September 1978. The contents of this book represent much of the information presented by the leading authorities in this field. The presentations were grouped in three areas: 1. Basic problems of endocrinology in anaesthesia and surgery; 2. The response of the endocrine system to anaesthesia and surgery; 3. Hormone and anaesthetic management of endocrine disease. As with any multi-authored text, there is both repetition and diversity but hopefully the reader will be able to obtain much of the useful information. As Editors, we wish to express our deep appreciation to Professor R. Frey and Springer-Verlag for including this book in the series on "Anaesthesiology and Intensive Care Medicine". H. Stoeckel T. Oyama
Table of Contents
I. Basic Problems of Endocrinology in Anaesthesia and Surgery H. Breuer Basic Principles Regulating the Endocrine System . . . . . . . ..
3
G. Wesemann and E. Grote Pathophysiology of Intra- and Postoperative Stress .. . . . . .. 10 M. Trede Surgical Treatment of Endocrine Diso
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