hyPERtENSION CRISIS IN AdRENAL SuRGERy ANd tREAtmENt Of POStOPERAtIvE hyPOtENSION
نویسندگان
چکیده
Department of General, Vascular and Transplant Surgery, Warsaw Medical University1 Kierownik: prof. dr hab. J. szmidt Department of Hypertension, Institute of Cardiology in Warsaw2 Kierownik: prof. dr hab. a. Januszewicz II Department of Anesthesiology and Intensive Care, Warsaw Medical University3 Kierownik: prof. dr hab. a. kański Department of Endocrinology, Centre of Postgraduate Medical Education in Warsaw4 Kierownik: prof. dr hab. w. zgliczyński
منابع مشابه
Acute adrenal crisis after orthopedic surgery for pathologic fracture
BACKGROUND Adrenal crisis after surgical procedure is a rare but potentially catastrophic life-threatening event. Its manifestations, such as hypotension, tachycardia, hypoxia, and fever mimic the other more common postoperative complications. Clinical outcome is dependent upon early recognition of the condition and proper management with exogenous steroid administration. CASE PRESENTATION We...
متن کاملRequirement of perioperative stress doses of corticosteroids: a systematic review of the literature.
OBJECTIVE To determine the requirement for perioperative supplemental (stress) doses of corticosteroids in patients receiving long-term corticosteroid therapy and undergoing a surgical procedure. Corticosteroids are among the most commonly prescribed medications and will predictably result in suppression of the hypothalamic-pituitary-adrenal axis with long-term use. Patients receiving therapeut...
متن کاملAverting a crisis by 'add'ing up the clues.
To cite: Patell R, Dosi R, Sheth S, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014204685 DESCRIPTION An urgent medical consult was called for refractory postoperative hypotension, without any apparent obvious cause, in a 50-year-old previously normotensive woman following bilateral hip surgery under spinal anaesthesia. Blood pressure was persistently ...
متن کاملSurgical Approach of Hypertension: Pheochromocytoma - Case Report
Pheochromocytoma is present in about 1% of hypertensive patients. It has a 90% cure potential, but a high mortality rate if left untreated. Complications include malignant hypertension, heart failure, myocardial infarction, ventricular arrhythmias, stroke or metastasis (malignant pheochromocytoma). We present the case of a 47-year-old hypertensive female patient who was admitted to hospital in ...
متن کاملUndiagnosed pheochromocytoma: the anesthesiologist nightmare.
A male, 62 years of age, presented to the operating room for the removal of a right adrenal mass. Induction of anesthesia triggered a severe hypertensive crisis resistant to high doses of nitroprusside, nitroglycerin and labetalol. The crisis was ultimately resolved with the administration of 5 mg bolus of phentolamine. Surgery was canceled, the patient was transported to the intensive care uni...
متن کامل