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angle-left Ralph Lattermann, MD, PhD

Scientist, RI-MUHC , Glen site

Metabolic Disorders and Complications Program

Centre for Innovative Medicine

Assistant Professor, Department of Anesthesia, Faculty of Medicine, McGill University

Department of Anaesthesia, Division of Adult Anaesthesia, MUHC



glucose metabolism • protein catabolism • surgery • anesthesia • liver function

Research Focus

My research focuses on the metabolic response to surgery, in particular glucose and protein metabolism. We are interested in finding strategies to inhibit perioperative hyperglycemia by anesthetic techniques and the administration of insulin. Furthermore, we have been working on perioperative protein catabolism and how it can be modified by nutritional interventions and/or anesthetic techniques. My research also focuses on how to prevent liver dysfunction after surgical liver resection.

Selected Publications

Click on Pubmed to see my current publications list

  • Hatzakorzian R, Shum-Tim D, Wykes L, Hülshoff A, Bui H, Nitschmann E, Lattermann R, Schricker T. Glucose and insulin administration while maintaining normoglycemia inhibits whole body protein breakdown and synthesis after cardiac surgery. J Appl Physiol (1985). 2014 Dec 1;117(11):1380-7. doi: 10.1152/japplphysiol.00175.2014. Epub 2014 Sep 25. PMID: 25257875.

  • Hassanain M, Metrakos P, Fisette A, Doi SA, Schricker T, Lattermann R, Carvalho G, Wykes L, Molla H, Cianflone K. Randomized clinical trial of the impact of insulin therapy on liver function in patients undergoing major liver resection. Br J Surg. 2013 Apr;100(5):610-8. doi: 10.1002/bjs.9034. Epub 2013 Jan 21. PMID: 23339047.

  • Schricker T, Wykes L, Meterissian S, Hatzakorzian R, Eberhart L, Carvalho G, Meguerditchian A, Nitschmann E, Lattermann R. The anabolic effect of perioperative nutrition depends on the patient's catabolic state before surgery. Ann Surg. 2013 Jan;257(1):155-9. doi: 10.1097/SLA.0b013e31825ffc1f. PMID: 22878551.

  • Schricker T, Lattermann R. Perioperative catabolism. Can J Anaesth. 2015 Feb;62(2):182-93. doi: 10.1007/s12630-014-0274-y. Epub 2015 Jan 15. Review. PMID: 25588775.

  • Carvalho G, Pelletier P, Albacker T, Lachapelle K, Joanisse DR, Hatzakorzian R, Lattermann R, Sato H, Marette A, Schricker T. Cardioprotective effects of glucose and insulin administration while maintaining normoglycemia (GIN therapy) in patients undergoing coronary artery bypass grafting. J Clin Endocrinol Metab. 2011 May;96(5):1469-77. doi: 10.1210/jc.2010-1934. Epub 2011 Feb 23.