PERIANAESTHETIC MANAGEMENT OF PATIENTS WITH ENDOCRINE DISEASE

Hyper- or hypofunctioning endocrine organs present a number of periana esthetic challenges. This review covers some of the issues of perianae sthetic management of patients with primary or coexisting pathology of the following endocrine organs: The pancreas with diabetes mellitus a s the most common endocrine cause of primary and secondary organ dysfu nctions affecting anaesthetic care. Adrenal cortical pathology with ex cess or deficiency of adrenocortical hormones. Pheochromocytoma of the adrenal medulla with infrequent but challenging perianaesthetic probl ems. Thyroid gland diseases with hyper- or hypothyroidism. Parathyroid gland pathology with hypercalcaemia or hypocalcaemia. Disorders of th e anterior and posterior pituitary gland. The carcinoid syndrome and m ore uncommon endocrinopathies such as adenomas from the gastroenteropa ncreatic endocrine tissues and the ovarian hyperstimulation syndrome a re also reviewed briefly. (C) Acta Anesthesiol Scandinavica 40 (1996).