Anesthetic Considerations on Adrenal Gland Surgery

Abstract

Adrenal gland surgery needs a multidisciplinary team including endocrinologist, radiologist, anesthesiologist, and surgeon. The indications for adrenal gland surgery include hormonal secreting and non-hormonal secreting tumors. Adrenal hormonal secreting tumors present to the anesthesiologist unique challenges requiring good preoperative evaluation, perioperative hemodynamic control, corrections of all electrolytes and metabolic abnormalities, a detailed and careful anesthetic strategy, overall knowledge about the specific diseases, control and maintaining of postoperative adrenal function, and finally a good collaboration with other involved colleagues. This review will focus on the endocrine issues, as well as on the above-mentioned aspects of anesthetic management during hormone secreting adrenal gland tumor resection.

Adrenocortical carcinoma versus renal cell carcinoma with vena caval thrombus: A case report and review

“…Functional adrenal tumour surgery is a unique challenge for the anaesthetist. It requires detailed preoperative evaluation, perioperative haemodynamic control, postoperative adrenal function control, correction of electrolyte disturbances and overall knowledge about the specific secreting adrenal tumour 18 …”

Clinical features, anaesthetic management and perioperative complications seen in three horses with pheochromocytoma

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