Perioperative glucocorticoid stress dosing: a survey of anesthesiologists and general internists

Stress dose steroids: the dogma persists

“…2 This is consistent with a recent survey of Canadian anesthesiologists and general internists which also showed discrepancy in management of stress dose steroids and uncertainty regarding guidelines. 3 Recent evidence suggests healthy children having minimally or moderately invasive urologic procedures had no significant rise of cortisol perioperatively, though three patients had normal levels preoperatively and intraoperatively with a small rise postoperatively. 4 This disputes classic pediatric endocrinology teaching that stress dose steroids are needed to mitigate the stress of general anesthesia.…”

Comments on “Perioperative glucocorticoid stress dosing: a survey of anesthesiologists and general internists”

“…The recent publication by Groleau et al on practice patterns of Canadian specialists around perioperative glucocorticoid administration is timely and of significant importance. 1 This area of controversy and debate is one that extends to both adult and pediatric practices. Our group had similarly noted differences in practice patterns with perioperative care of children with primary adrenal insufficiency and conducted a survey of Canadian pediatric specialists, published this month in the International Journal of Pediatric Endocrinology.…”