By George M. Hall, Jennifer M. Hunter, Mark S. Cooper
Center themes in Endocrinology in Anesthesia and demanding Care presents a entire, useful assessment of the perioperative administration of sufferers with endocrine problems, giving transparent diagnostic suggestion and administration instructions. This e-book considers the administration of sufferers with endocrine issues of the pituitary, thyroid, parathyroid and adrenal glands, together with rarer issues equivalent to males syndrome. It then considers all features of the perioperative administration of diabetic sufferers, together with paediatric, obstetric and ambulatory sufferers. eventually it discusses endocrine issues within the seriously sick sufferer, overlaying such concerns because the topical conundrum of glucose keep an eye on and the administration of diabetic metabolic acidosis, thyroid typhoon and myxoedema coma. each bankruptcy experiences the proper anatomy and pathophysiology and the newest advancements in defining the genetic motives also are thought of the place acceptable. middle subject matters in Endocrinology in Anesthesia and significant Care is a useful instrument for all anaesthetists and intensivists of their day-by-day medical perform.
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Extra info for Core Topics in Endocrinology in Anaesthesia and Critical Care
Hobbiger HE, Allen JG, Greatorex RG, Denny NM. The laryngeal mask airway for thyroid and parathyroid surgery. Anaesthesia 1996; 51: 972–4. 18. Greatorex RA, Denny NM. Application of the laryngeal mask airway to thyroid surgery and the preservation of the recurrent laryngeal nerve. Ann R Coll Surg Engl 1991; 73: 352–4. 19. Lacoste L, Gineste D, Karayan J, et al. Airway complications in thyroid surgery. Ann Otol Rhinol Laryngol 1993; 102: 441–6. 20. Mingo OH, Ashpole KJ, Irving CJ, Rucklidge MW. Remifentanil sedation for awake fibreoptic intubation with limited application of local anaesthetic in patients for elective head and neck surgery.
Sugammadex: a novel agent for the reversal of neuromuscular blockade. Pharmacotherapy 2007; 27: 1181–8. 23. Bagul A, Taha R, Metcalfe MS, Brook NR, Nicholson ML. Pre-incision infiltration of local anesthetic reduces postoperative pain with no effects on bruising and wound cosmesis after thyroid surgery. Thyroid 2005; 15: 1245–8. 24. National Institute for Health and Clinical Excellence (NICE). Intraoperative Nerve Monitoring During Thyroid Surgery. Interventional Procedure Guidance 255. London, NICE, 2008.
Laser-induced reduction of thyroid tissue and embolisation by interventional radiologists have been described but are not yet routine procedures. There are an increasing number of web-based resources that provide updated information on all aspects of thyroid disease for clinicians and patients . Conclusions Disease of the thyroid gland is common and anaesthetists will be required to manage patients with hypothyroidism and hyperthyroidism as well as patients scheduled for thyroidectomy. Since anaesthesia for thyroidectomy provides many challenges of airway management, the anaesthetist should pay particular attention to preoperative assessment of the airway and should be able to deal with acute airway complications in the perioperative phase.