Mayura Thilanka Iddagoda^1,2, Seng Gan^1,2, Leon Flicker^1,2

¹Perioperative Medical Service, Royal Perth Hospital, Perth, Western Australia 6000, Australia. ²School of Medicine, University of Western Australia, Perth, Western Australia 6000, Australia.

Address correspondence to: Mayura Thilanka Iddagoda, Perioperative Medical Service, Royal Perth Hospital, Wellington Street, Perth, Western Australia 6000, Australia. Phone: +61 8 9224 2244;  Email: Mayura.Iddagoda@health.wa.gov.au.

Acknowledgement: RACP Research Entry Scholarship 2022.

DOI: https://doi.org/10.61189/496028bkubbs

Received October 12, 2023; Accepted November 10, 2023; Published December 31, 2023

Highlights

● Amongst 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.