The surgically induced stress response.

Celeste Finnerty, Nigel Tapiwa Mabvuure, Arham Ali, David Herndon, David N. Herndon

Research output: Contribution to journalArticle

58 Citations (Scopus)

Abstract

The stress response to surgery, critical illness, trauma, and burns encompasses derangements of metabolic and physiological processes that induce perturbations in the inflammatory, acute phase, hormonal, and genomic responses. Hypermetabolism and hypercatabolism result, leading to muscle wasting, impaired immune function and wound healing, organ failure, and death. The surgery-induced stress response is largely similar to that triggered by traumatic injuries; the duration of the stress response, however, varies according to the severity of injury (surgical or traumatic). This spectrum of injuries and insults ranges from small lacerations to severe insults such as large poly-traumatic and burn injuries. Burn injuries provide an extreme model of trauma induced stress responses that can be used to study the long-term effects of a prolonged stress response. Although the stress response to acute trauma evolved to confer improved chances of survival following injury, in modern surgical practice the stress response can be detrimental.

Original languageEnglish (US)
JournalJPEN. Journal of parenteral and enteral nutrition
Volume37
Issue number5 Suppl
StatePublished - Sep 2013

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Wounds and Injuries
Physiological Phenomena
Lacerations
Intraoperative Complications
Critical Illness
Wound Healing
Muscles

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Medicine(all)

Cite this

Finnerty, C., Mabvuure, N. T., Ali, A., Herndon, D., & Herndon, D. N. (2013). The surgically induced stress response. JPEN. Journal of parenteral and enteral nutrition, 37(5 Suppl).

The surgically induced stress response. / Finnerty, Celeste; Mabvuure, Nigel Tapiwa; Ali, Arham; Herndon, David; Herndon, David N.

In: JPEN. Journal of parenteral and enteral nutrition, Vol. 37, No. 5 Suppl, 09.2013.

Research output: Contribution to journalArticle

Finnerty, C, Mabvuure, NT, Ali, A, Herndon, D & Herndon, DN 2013, 'The surgically induced stress response.', JPEN. Journal of parenteral and enteral nutrition, vol. 37, no. 5 Suppl.
Finnerty C, Mabvuure NT, Ali A, Herndon D, Herndon DN. The surgically induced stress response. JPEN. Journal of parenteral and enteral nutrition. 2013 Sep;37(5 Suppl).
Finnerty, Celeste ; Mabvuure, Nigel Tapiwa ; Ali, Arham ; Herndon, David ; Herndon, David N. / The surgically induced stress response. In: JPEN. Journal of parenteral and enteral nutrition. 2013 ; Vol. 37, No. 5 Suppl.
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