Supplemental perioperative steroids for surgical patients with adrenal insufficiency

Yong, Sin Leong; Coulthard, Paul; Wrzosek, Anna

doi:10.1002/14651858.cd005367.pub3

Cited by 22 publications

(22 citation statements)

References 31 publications

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“…Therefore, steroid cover should be considered to prevent secondary adrenal insufficiency [85,86]. While the effectiveness of steroid cover with a dose larger than the maintenance one has not been clarified, steroid doses are usually adjusted depending on the degree of surgical damage [84,[87][88][89]. In thymectomy as well, steroid cover is usually conducted by intravenous administration of methylprednisolone [60].…”

Section: Preoperative Steroid Supplementationmentioning

confidence: 99%

Perioperative management in myasthenia gravis: republication of a systematic review and a proposal by the guideline committee of the Japanese Association for Chest Surgery 2014

Kadota

Horio

Mori

et al. 2015

Gen Thorac Cardiovasc Surg

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Thymectomy is regarded as a useful therapeutic option for myasthenia gravis (MG), though perioperative management in MG patients is largely empirical. While evidence-based medicine is limited in the perioperative management of MG patients, treatment guidelines are required as a benchmark. We selected issues faced by physicians in clinical practice in the perioperative management of extended thymectomy for MG, and examined them with a review of the literature. The present guidelines have reached the stage of consensus within the Japanese Association for Chest Surgery.

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Section: Preoperative Steroid Supplementationmentioning

confidence: 99%

Perioperative management in myasthenia gravis: republication of a systematic review and a proposal by the guideline committee of the Japanese Association for Chest Surgery 2014

Kadota

Horio

Mori

et al. 2015

Gen Thorac Cardiovasc Surg

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“…In both non-endocrine and endocrine surgery, the role of pituitary, thyroid, parathyroid, pancreas, adrenal, and various other hormone releasing tissues and organs can have a direct impact on the surgical outcome. [34567] Endocrine complications are more likely to occur in routine daily anesthesia practice in patients presenting with endocrinopathy, but may occur in all. It is therefore mandatory that an anesthesiologist should be thoroughly well-versed with all endocrine pathologies and complications, which can be encountered during surgical practice so as to “suspect,” “prevent,” “diagnose,” and “manage” them in a timely and appropriate manner.…”

Section: Endocrinological Challenges In Anesthesiologymentioning

confidence: 99%

“…[34567] Autonomic function and integrity is of utmost importance while formulating the plan of anesthesia. As autonomic dysfunction is commonly encountered in many of the endocrine disorders such as diabetes, adrenal disease, and other, pre-operative assessment and intra-operative vigilance is important.…”

Section: Anesthetic Technique: a Difficult Choicementioning

confidence: 99%

Endocrine anesthesia: A rapidly evolving anesthesia specialty

Bajwa

Kalra

2014

Saudi J Anaesth

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“…Unklar ist, ob Patienten mit einer Steroiddauermedikation unterhalb der Cushing-Schwelle von einer 7 zusätzlichen perioperativen Steroidgabe profitieren [21]. Wegen der individuell sehr unterschiedlichen Reaktion auf das operative Trauma und die unterschiedliche Suppression der endogenen Kortisolsynthese durch exogene Steroide kann folgendes Vorgehen erwogen werden: …”

Section: C8 Kortikosteroideunclassified

Präoperative Evaluation erwachsener Patienten vor elektiven, nichtkardiochirurgischen Eingriffen

2011

Urologe

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Evaluation of the patient's medical history and a physical examination are the cornerstones of risk assessment prior to elective surgery and may help to optimize the patient's preoperative medical condition and to guide perioperative management. Whether the performance of additional technical tests (e.g. blood chemistry, ECG, spirometry, chest-x-ray) can contribute to a reduction of perioperative risk is often not very well known or controversial. Similarly, there is considerable uncertainty among anesthesiologists, internists and surgeons with respect to the perioperative management of the patient's long-term medication. Therefore, the German Scientific Societies of Anesthesiology and Intensive Care Medicine (DGAI), Internal Medicine (DGIM) and Surgery (DGCH) have joined to elaborate and publish recommendations on the preoperative evaluation of adult patients prior to elective, non-cardiac and non-lung resection surgery. In the first part the general principles of preoperative evaluation are described (part A). The current concepts for extended evaluation of patients with known or suspected major cardiovascular disease are presented in part B. Finally, the perioperative management of patients' long-term medication is discussed (part C). The concepts proposed in these interdisciplinary recommendations endorsed by the DGAI, DGIM and DGCH provide a common basis for a structured preoperative risk assessment and management. These recommendations aim to ensure that surgical patients undergo a rational preoperative assessment and at the same time to avoid unnecessary, costly and potentially dangerous testing. The joint recommendations reflect the current state-of-the-art knowledge as well as expert opinions because scientific-based evidence is not always available. These recommendations will be subject to regular re-evaluation and updating when new validated evidence becomes available.

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Supplemental perioperative steroids for surgical patients with adrenal insufficiency

Cited by 22 publications

References 31 publications

Perioperative management in myasthenia gravis: republication of a systematic review and a proposal by the guideline committee of the Japanese Association for Chest Surgery 2014

Perioperative management in myasthenia gravis: republication of a systematic review and a proposal by the guideline committee of the Japanese Association for Chest Surgery 2014

Endocrine anesthesia: A rapidly evolving anesthesia specialty

Präoperative Evaluation erwachsener Patienten vor elektiven, nichtkardiochirurgischen Eingriffen

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