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Abstract
The effect of glucagon on hemodynamic and oxygen transport was studied in 11 severely
stressed surgical patients. When these responses were evaluated in relation to the
patients' prior intravenous therapy, those patients who have received increased metabolic
substrate (50 percent glucose) had, in general, greater and more consistent responses
to glucagon infusion. It is suggested that exogenous glucose supplies the metabolic
substrates necessary for the inotropic effect of glucagon. It is also suggested that
the variability in response observed clinically with this hormone may be related to
the carbohydrate availability. Since critically ill patients are frequently undernourished,
therapeutic use of glucagon should be accompanied by adequate caloric intake.
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Article info
Publication history
Accepted:
January 28,
1974
Identification
Copyright
© 1974 Published by Elsevier Inc.