Unanticipated Acute Adrenal Insufficiency During Emergency Thoracotomy Re-Exploration
Date
2010-10
Authors
Rawlings, J Lee
Spivey, Jerry A
Castresana, Manuel R.
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Publisher
American Society of Anesthesiologists
Abstract
For the last 50 years there has been a debate over the management of corticosteroid supplementation in the context of surgical or critically ill patients. At a minimum, clinicians agree that chronic corticosteroids should be continued in the perioperative or ICU setting, however in patients without a history of steroid use, acute adrenal insufficiency as the cause of hemodynamic compromise can be an elusive diagnosis. We present a case report.
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Keywords
Anesthesia, Corticosteroids, Adrenal insufficiency