Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

An Addisonian crisis complicating anaesthesia

M G Smith, A J Byrne

    Anaesthesia
    |July 1, 1981
    PubMed
    Summary

    A patient with Addison's disease underwent emergency surgery during an acute adrenal crisis caused by intentionally stopping steroid therapy. Anesthetic management was successfully performed despite the critical condition.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    IRF5 regulates airway macrophage metabolic responses.

    Clinical and experimental immunology·2021
    Same author

    Selected nitrostyrene compounds demonstrate potent activity in chronic lymphocytic leukaemia cells, including those with poor prognostic markers.

    Oncology reports·2019
    Same author

    A critical role for IRF5 in regulating allergic airway inflammation.

    Mucosal immunology·2016
    Same author

    Phenotypic and genotypic profiling of antimicrobial resistance in enteric Escherichia coli communities isolated from finisher pigs in Australia.

    Australian veterinary journal·2016
    Same author

    'Help! I need somebody': getting timely assistance in clinical practice.

    Anaesthesia·2016
    Same author

    Synthesis and antiproliferative action of a novel series of maprotiline analogues.

    European journal of medicinal chemistry·2013

    Area of Science:

    • Anesthesiology
    • Endocrinology
    • Surgical Management

    Background:

    • Addison's disease (primary adrenal insufficiency) requires lifelong steroid replacement therapy.
    • Patients with Addison's disease are at risk of adrenal crisis if steroid therapy is interrupted.
    • Adrenal crisis is a life-threatening condition requiring immediate medical intervention.

    Observation:

    • A patient with Addison's disease presented with self-inflicted injuries requiring urgent surgery.
    • The patient deliberately omitted steroid replacement therapy, leading to an acute adrenal crisis.
    • Anesthesia and surgery were deemed necessary before full resolution of the adrenal crisis.

    Findings:

    • The case highlights the challenges of managing anesthesia in patients with acute adrenal crisis.
    • Successful anesthetic management was achieved despite the patient's critical endocrine imbalance.
    • This case underscores the importance of vigilant perioperative steroid management in patients with adrenal insufficiency.

    Implications:

    • This case provides valuable insights into anesthetic strategies for patients with Addison's disease in surgical emergencies.
    • It emphasizes the critical need for multidisciplinary collaboration between surgical, anesthetic, and endocrine teams.
    • Proper management can improve outcomes for patients with adrenal insufficiency facing surgical procedures.

    Related Experiment Videos