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Endocrine emergencies in anesthesia.

Claudia Fernandez-Robles1, Zyad J Carr, Adriana D Oprea

  • 1Yale University School of Medicine, New Haven, Connecticut, USA.

Current Opinion in Anaesthesiology
|May 3, 2021
PubMed
Summary
This summary is machine-generated.

Anesthesiologists frequently encounter patients with endocrine disorders. This review covers perioperative endocrine disorder management, focusing on pheochromocytoma, carcinoid syndrome, and glycemic control for optimal surgical outcomes.

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Area of Science:

  • Anesthesiology
  • Endocrinology
  • Perioperative Medicine

Background:

  • Endocrine disorders are increasingly prevalent in surgical patients.
  • Anesthesiologists must be prepared for unique perioperative challenges posed by these conditions.

Purpose of the Study:

  • To review common endocrine disorders encountered in the perioperative period.
  • To discuss optimal management strategies and recent literature for complex endocrine patients.

Main Methods:

  • Literature review of perioperative endocrine disorder management.
  • Synthesis of current evidence and expert consensus.

Main Results:

  • Improved perioperative management of pheochromocytoma and paraganglioma with medical advancements and minimally invasive surgery.
  • Enhanced understanding of carcinoid syndrome sequelae leading to safer perioperative care.
  • Glycemic management requires understanding fluid resuscitation and new oral hyperglycemic agents to prevent complications.

Conclusions:

  • Endocrine disorders are common in the perioperative setting.
  • Anesthesiologists play a vital role in ensuring positive surgical outcomes for these patients.