Anesthetic Considerations on Adrenal Gland Surgery

Rudin Domi, Hektor Sula, Myzafer Kaci, Sokol Paparisto, Artan Bodeci, Astrit Xhemali

Abstract


Adrenal gland surgery needs a multidisciplinary team including endocrinologist, radiologist, anesthesiologist, and surgeon. The indications for adrenal gland surgery include hormonal secreting and non-hormonal secreting tumors. Adrenal hormonal secreting tumors present to the anesthesiologist unique challenges requiring good preoperative evaluation, perioperative hemodynamic control, corrections of all electrolytes and metabolic abnormalities, a detailed and careful anesthetic strategy, overall knowledge about the specific diseases, control and maintaining of postoperative adrenal function, and finally a good collaboration with other involved colleagues. This review will focus on the endocrine issues, as well as on the above-mentioned aspects of anesthetic management during hormone secreting adrenal gland tumor resection.




J Clin Med Res. 2015;7(1):1-7
doi: http://dx.doi.org/10.14740/jocmr1960w

Keywords


General anesthesia; Adrenal gland; Preoperative evaluation

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