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Acute Adrenal Insufficiency After an Antiemetic Dose of Dexamethasone: A Case Report
Andres Bacigalupo Landa1, Omar Viswanath2,3, Jayanand D'Mello4
1From the Department of Anesthesiology, Mount Sinai Medical Center, Miami Beach, Florida.
Abstract:
Dexamethasone is widely used in current practice for the prevention of postoperative nausea and vomiting. Although its use in the perioperative setting has been associated with several side effects (eg, hyperglycemia and suppression of adrenal cortisol production), their clinical significance remains questionable. We present the case of a healthy 27-year-old woman who developed acute adrenal insufficiency after receiving intraoperative dexamethasone for postoperative nausea and vomiting prophylaxis during a laparoscopic left oophorectomy.
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