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.
Written by:
Domi R, Sula H, Kaci M, Paparisto S, Bodeci A, Xhemali A. Are you the author?
Department of Anesthesiology and Intensive Care Medicine, "Mother Teresa" University Hospital Center, Tirana, Albania; Department of General Surgery, "Mother Teresa" University Hospital Center, Tirana, Albania; Department of Oncologic Surgery, "Mother Teresa" University Hospital Center, Tirana, Albania.
Reference: J Clin Med Res. 2015 Jan;7(1):1-7.
doi: 10.14740/jocmr1960w
PubMed Abstract
PMID: 25368694
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