{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T20:09:37Z","timestamp":1760645377947},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[1978,4,1]],"date-time":"1978-04-01T00:00:00Z","timestamp":260236800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1978,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The renin-angiotensin system, ACTH and hyperkalaemia are known to induce increased plasma levels of aldosterone. In order to assess the relative significance of these mechanisms during surgical stress, aldosterone, cortisol and electrolytes in plasma were measured in 12 otherwise healthy women during and after cholecystectomy. The patients received either isotonic sodium chloride or 5 per cent glucose in water during the experimental period of 22 h.<\/jats:p>\n               <jats:p>The results showed that the pronounced increase of aldosterone and the concomitant decrease of sodium in plasma found in patients given glucose in water could almost be inhibited by the administration of saline. Cortisol and potassium concentrations were identical in the two groups of subjects.<\/jats:p>\n               <jats:p>It is concluded that the aldosterone response to surgery is mainly mediated via the renin-angiotensin system. This response is probably due to a reduced sodium content or volume of extracellular fluid, since it could almost be inhibited by administration of sodium chloride. The rationale of saline restriction during and after surgery is questioned.<\/jats:p>","DOI":"10.1002\/bjs.1800650403","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T16:27:47Z","timestamp":1172852867000},"page":"224-227","source":"Crossref","is-referenced-by-count":16,"title":["Inhibition of aldosterone response to surgery by saline administration"],"prefix":"10.1093","volume":"65","author":[{"given":"A","family":"Engquist","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Department of Surgery D, Herlev and Glostrup Hospitals, Medical Department P, Division of Nephrology, and Department of Anaesthesiology, Rigshospitalet, Copenhagen, Hvid\u00f8re Hospital ,","place":["Denmark"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Blichert-Toft","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Department of Surgery D, Herlev and Glostrup Hospitals, Medical Department P, Division of Nephrology, and Department of Anaesthesiology, Rigshospitalet, Copenhagen, Hvid\u00f8re Hospital ,","place":["Denmark"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"\u00d8lgaard","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Department of Surgery D, Herlev and Glostrup Hospitals, Medical Department P, Division of Nephrology, and Department of Anaesthesiology, Rigshospitalet, Copenhagen, Hvid\u00f8re Hospital ,","place":["Denmark"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M R","family":"Brandt","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Department of Surgery D, Herlev and Glostrup Hospitals, Medical Department P, Division of Nephrology, and Department of Anaesthesiology, Rigshospitalet, Copenhagen, Hvid\u00f8re Hospital ,","place":["Denmark"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Kehlet","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Department of Surgery D, Herlev and Glostrup Hospitals, Medical Department P, Division of Nephrology, and Department of Anaesthesiology, Rigshospitalet, Copenhagen, Hvid\u00f8re Hospital ,","place":["Denmark"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1978,4,1]]},"reference":[{"key":"2024092619531219900_bib1","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1097\/00000542-197505000-00006","article-title":"The reninangiotensin-aldosterone system during cardiac surgery with morphine-nitrous oxide anaesthesia","volume":"42","author":"Bailey","year":"1975","journal-title":"Anesthesiology"},{"key":"2024092619531219900_bib2","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1136\/bmj.2.5454.144","article-title":"Plasma renin concentration in human hypertension. 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