Core Topics in Endocrinology in Anaesthesia and Critical Care


Core Topics in Endocrinology in Anaesthesia and Critical Care

Core Topics in Endocrinology in Anaesthesia and Critical Care PDF
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Endocrine disorders are a disparate group of diseases
of complex pathophysiology. Some of these disorders,
such as diabetes mellitus, are increasingly common in
the developed world. Diabetic patients can present at
any age to anaesthetists of all grades and in every subspecialty.
In this specialist anaesthetic text, there is a
detailed discussion of all aspects of an anaesthetist’s
involvement with diabetes, be it in paediatric, obstetric
or intensive care practice, or when these patients
undergo routine surgery. For greater understanding,
an outline of the pathophysiology of diabetes mellitus
is provided.

Thyroid dysfunction is another common endocrine
disorder of which all anaesthetists have significant
experience. It is essential for anaesthetists to understand
the many different diseases that affect this gland,
be they malignant or autoimmune, how such diseases
are managed medically and how they affect anaesthetic
Other endocrine disorders are far less common
than diabetes mellitus and thyroid disease. The challenges
for any anaesthetist with the rarer disorders of
the adrenal, pituitary and parathyroid glands, or with
endocrine disorders of the gut, are very different from
managing a diabetic patient. No practitioner will have
great experience of anaesthetising such patients. Thus it
is apposite to have contributions from well recognised
experts in these areas brought together into one text.
Only recently have endocrine disorders in critically
ill patients been given detailed consideration.
This book considers not only the topical subjects of
glucose control in the critically ill and the critically ill
diabetic patient, but also the very rare disorders of the
thyroid gland that present to intensivists. Fluid and
electrolyte imbalance, the effects of critical illness
on adrenal physiology and the role of glucocorticoid
replacement are considered. Understanding of such
disorders is incomplete, but in this text we update
all anaesthetists involved in acute medicine in these
complex areas.
To increase the understanding of the pathophysiology
and medical management of such patients, it has
been most advantageous to have a distinguished endocrinologist
as a co-editor. We hope that Mark Cooper’s
significant contributions will enhance anaesthetists’
understanding of the multidisciplinary approach that
is required in the management of the complex endocrine
patient perioperatively.


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Adnan Aftab

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