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Article citations


Rothman, D.L., Magnusson, I., Katz, L.D., Shulman, R.G. and Shulman, G.I. (1991) Quantitation of Hepatic Glycogenolysis and Gluconeogenesis in Fasting Humans with 13C NMR. Science, 254, 573-576.

has been cited by the following article:

  • TITLE: Amino Acids during Perioperative Period

    AUTHORS: Takeshi Yokoyama, Ippei Yamaoka, Takashi Hitosugi, Eva Selldén

    KEYWORDS: Anesthesia, Hypothermia, Amino Acids, Nutrition

    JOURNAL NAME: Open Journal of Anesthesiology, Vol.7 No.9, September 21, 2017

    ABSTRACT: During anesthesia, thermoregulation is impaired and hypothermia will frequently occur in most patients. Hypothermia affects immunologic activity, bleeding tendency and the recovery from anesthesia. Therefore, it may prolong hospital stay, and increase morbidity, e.g. surgical site infections, cardiac events and multiple organ dysfunctions in trauma. External warming is often used to prevent hypothermia. However, infusion of amino acids is also valuable to prevent hypothermia due to their enhanced thermogenic action under anesthesia. During surgery, amino acids administration would maintain the body homeostasis, and counteract the disadvantageous fasting metabolism. Postoperatively, amino acids may be advantageous for the healing of the surgical wound. Thus, appropriate nutritional management, including glucose, during the perioperative period would prevent catabolism, frequently occurring after surgery. Protocols like ERAS (Enhanced Recovery After Surgery) are proposed for quick recovery after surgery. ERAS protocol recommends preoperative carbohydrate and early enteral nutrition, but does not include infusion of amino acids during the perioperative period. During prolonged surgery, patients clearly need good nutritional support. In this article, we intend to describe the problems of hypothermia briefly, and explain the mechanism of amino acids in hypothermia prevention. In addition, we address some evidences of nutritional management during the perioperative period.