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Anesthesiol Clin. 2010 Mar;28(1):139-55. doi: 10.1016/j.anclin.2010.01.003.

How to manage perioperative endocrine insufficiency.

Author information

1
Department of Anesthesiology and Critical Care, University of Pennsylvania School of Medicine, 3400 Spruce Street, Dulles Building, Suite 680, Philadelphia, PA 19104, USA. Benjamin.Kohl@uphs.upenn.edu

Abstract

Patients with endocrinopathies frequently present to the operating room. Although many of these disorders are managed on a chronic basis, patients may have acute changes in the perioperative period that, if left unrecognized, can have a negative effect on perioperative morbidity and mortality. It is imperative that anesthesiologists understand the implications of the surgical stress response on hormonal flux. This article focuses on the 4 most commonly encountered endocrinopathies: diabetes mellitus, hyperthyroidism, hypothyroidism, and adrenal insufficiency. Specific challenges pertaining to patients with pheochromocytoma are also discussed.

PMID:
20400045
DOI:
10.1016/j.anclin.2010.01.003
[Indexed for MEDLINE]

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