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Mayura.Iddagoda@health.wa.gov.auAmongst the many causes of adrenal insufficiency, primary adrenal failure or Addison’s disease is an important cause of hypoadrenalism.
Adreanl insufficiency is a common medical problem in surgical patients and can cause preventable major adverse events.
It is important to identify patients at high-risk of adrenal insufficiency and to give appropriate replacements perioperatively.
Current guidelines clearly outline the required amount of steroid dose during the intraoperative and postoperative period in patients with insufficient adrenal function.
Open AccessMayura.Iddagoda@health.wa.gov.auAmongst the many causes of adrenal insufficiency, primary adrenal failure or Addison’s disease is an important cause of hypoadrenalism.
Adreanl insufficiency is a common medical problem in surgical patients and can cause preventable major adverse events.
It is important to identify patients at high-risk of adrenal insufficiency and to give appropriate replacements perioperatively.
Current guidelines clearly outline the required amount of steroid dose during the intraoperative and postoperative period in patients with insufficient adrenal function.
Impaired production of adrenal hormones or hypoadrenalism is not uncommon and has various aetiologies. Untreated hypoadrenalism during operative period can lead to preventable major adverse events. Identification and risk stratification in those who have hypoadrenalism is an important part of preoperative assessment. There are multiple guidelines on intraoperative care and anaesthesia for patients with adrenal insufficiency. The aim of this review is to discuss the available evidence and optimal management approaches for surgical patients with hypoadrenalism during intra- and post-operative periods.
ISSN: 2957-5443
Volume 1, Issue 3
December 2023
Pages: 101-147
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