Unanticipated Acute Adrenal Insufficiency During Emergency Thoracotomy Re-Exploration

Date

2010-10

Authors

Rawlings, J Lee
Spivey, Jerry A
Castresana, Manuel R.

Journal Title

Journal ISSN

Volume Title

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.

Description

Keywords

Anesthesia, Corticosteroids, Adrenal insufficiency

Citation

DOI