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Canadian Journal of Anesthesia, Vol 29, 468-472, Copyright © 1982 by Canadian Anesthesiologists' Society

Perturbation Fonctionnelle Prolongee de la Secretion de Prolactine Apres Chirurgie Sous Neuroleptanalgesie

YVES JULLIEN 1, GÉRARD DESCH 2, ANDRÉE BONARDET 2, DOMINIQUE ALLOUA 1, MARC DERODEZ 1, BERNARD DESCOMPS 2, and JACQUES DU CAILAR 1

1 Département d'Anesthésie-Réanimation A, Centre Hospitalier Universitaire, Hôpital Saint-Eloi
2 Laboratoire de Biochimie C, Centre Hospitalier Universitaire, Hôpital Saint-Charles; 34059 Montpellier Cedex, France

Plasma level of prolactin and its response to the injection of haloperidol were measured in nine women before and after elective gynecological surgery under neuroleptanalgesia using dextromoramidedroperidol combination.

The day before the operation, the injection of haloperidol 0.25 mg intramusculary increases the concentration of PRL by 5.4 ± 1.9 ng/ml, while this response is completely abolished the day following the operation.

Two days later, a tenfold increase in the dose of haloperidol (2.5 mg I.M.) is necessary to obtain a PRL response that equals that observed pre-operatively (5.8 ± 1.2 ng/ml).

The low plasma levels observed 24 and 48 hours post-operatively compared to the pre-operative level, illustrate a prolonged functional disturbance of the secretion of PRL.







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Copyright © 1982 by the Canadian Anesthesiologists' Society.