ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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Perioperative Preparation For Endocrine Disorders Andmanagement Of Patients In Intensive Care Units: Medical Education
Dr. Ayşe KUBAT ÜZÜM,a Dr. Neşe ÖZBEYa
aİç Hastalıkları AD, Endokrinoloji ve Metabolizma Hastalıkları BD, İstanbul Üniversitesi İstanbul Tıp Fakültesi, İSTANBUL
Propylthiouracil or methimazol combined with ß-blockers is a safe way of rapid preoperative preparation for uncontrolled hyperthyroidism. The use of iodide, glucocorticoids, iopanoic acid, lithium, colestiramine, plasmapheresis may be required for rapid preparation in some circumstances. Subclinical hypothyroidism and subclinical hyperthyroidism does not increase the risk of anesthesia. However, euthyroidism should be obtained in overt hypothyroidism and hyperthyroidism to decrease the anesthesia risk. Emergent surgery should not be postponed in hypothyroid patients. Hypothalamic-pituitary-adrenal axis (HPA) should be evaluated in hypocortisolemic patients and perioperative glucocorticoid coverage in the patients with known or suspected HPA suppression must be planned.Keywords: Surgery, hypothyroidism, hyperthyroidism, adrenal insufficiencyTurkiye Klinikleri J Med Sci 2007, 27:419-425
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