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Perianaesthetic management of patients with endocrine disease
Author(s) -
Breivik H.
Publication year - 1996
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/j.1399-6576.1996.tb05619.x
Subject(s) - medicine , endocrine system , endocrine disease , thyroid , pheochromocytoma , adrenal gland , endocrine gland , parathyroid gland , pathology , pancreas , hypocalcaemia , pituitary disorder , diabetes mellitus , pituitary gland , ovarian hyperstimulation syndrome , posterior pituitary , hypercalcaemia , endocrinology , hormone , parathyroid hormone , pregnancy , biology , in vitro fertilisation , genetics , calcium
Hyper‐ or hypofunctioning endocrine organs present a number of perianaesthetic challenges. This review covers some of the issues of perianaesthetic management of patients with primary or coexisting pathology of the following endocrine organs: The pancreas with diabetes mellitus as the most common endocrine cause of primary and secondary organ dysfunctions affecting anaesthetic care. Adrenal cortical pathology with excess or deficiency of adrenocortical hormones. Pheochromocytoma of the adrenal medulla with infrequent but challenging perianaesthetic problems. Thyroid gland diseases with hyper‐ or hypothyroidism. Parathyroid gland pathology with hypercalcaemia or hypocalcaemia. Disorders of the anterior and posterior pituitary gland. The carcinoid syndrome and more uncommon endocrinopathies such as adenomas from the gastroenteropancreatic endocrine tissues and the ovarian hyperstimulation syndrome are also reviewed briefly.