Perioperative Severe Hypotension in a Patient with Multiple Endocrine Neoplasia Type IIb and Bilateral Adrenalectomies: Time to Review the Evidence for Stress Dose Steroids
Joint Authors
Zavala, Acsa M.
Owusu-Agyemang, Pascal
Hagan, Katherine
Tan, Jens
Van Meter, Antoinette
Williams, Uduak Ursula
Zhang, Wei
Source
Case Reports in Anesthesiology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-11-09
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Multiple endocrine neoplasia type IIb (MEN IIb) is an endocrine disorder which can manifest with tumors such as pheochromocytomas and neuromas.
We present the case of a patient with MEN IIb, after bilateral adrenalectomies, on maintenance steroid replacement, who underwent a neuroma resection and developed severe hypotension.
There is persistent controversy regarding the general administration of perioperative “stress dose” steroids for patients with adrenal insufficiency.
While the most recent literature suggests that stress dose steroids are unnecessary for secondary adrenal insufficiency, the rarer form of primary adrenal insufficiency always requires supplemental steroids, specifically hydrocortisone, when undergoing surgical procedures.
American Psychological Association (APA)
Tan, Jens& Zavala, Acsa M.& Hagan, Katherine& Van Meter, Antoinette& Williams, Uduak Ursula& Zhang, Wei…[et al.]. 2016. Perioperative Severe Hypotension in a Patient with Multiple Endocrine Neoplasia Type IIb and Bilateral Adrenalectomies: Time to Review the Evidence for Stress Dose Steroids. Case Reports in Anesthesiology،Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1100269
Modern Language Association (MLA)
Tan, Jens…[et al.]. Perioperative Severe Hypotension in a Patient with Multiple Endocrine Neoplasia Type IIb and Bilateral Adrenalectomies: Time to Review the Evidence for Stress Dose Steroids. Case Reports in Anesthesiology No. 2016 (2016), pp.1-3.
https://search.emarefa.net/detail/BIM-1100269
American Medical Association (AMA)
Tan, Jens& Zavala, Acsa M.& Hagan, Katherine& Van Meter, Antoinette& Williams, Uduak Ursula& Zhang, Wei…[et al.]. Perioperative Severe Hypotension in a Patient with Multiple Endocrine Neoplasia Type IIb and Bilateral Adrenalectomies: Time to Review the Evidence for Stress Dose Steroids. Case Reports in Anesthesiology. 2016. Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1100269
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1100269