Core Topics in Endocrinology in Anaesthesia and Critical Care

by Edited by George M. Hall , Jennifer M. Hunter , Mark S. Cooper

• ISBN13: 9780521509992
• ISBN10: 0521509998
• Edition: 1st
• Format: Hardcover
• Copyright: 2010-04-30
• Publisher: Cambridge University Press

Summary

Core Topics in Endocrinology in Anesthesia and Critical Care provides a comprehensive, practical overview of the perioperative management of patients with endocrine disorders, giving clear diagnostic advice and management guidelines. This book considers the management of patients with endocrine disorders of the pituitary, thyroid, parathyroid and adrenal glands, including rarer disorders such as MEN syndrome. It then considers all aspects of the perioperative management of diabetic patients, including paediatric, obstetric and ambulatory patients. Finally it discusses endocrine disorders in the critically ill patient, covering such issues as the topical conundrum of glucose control and the management of diabetic metabolic acidosis, thyroid storm and myxoedema coma. Every chapter reviews the relevant anatomy and pathophysiology and the latest developments in defining the genetic causes are also considered where appropriate. Core Topics in Endocrinology in Anesthesia and Critical Care is an invaluable tool for all anaesthetists and intensivists in their daily clinical practice.

Author Biography

George M. Hall is Professor of Anaesthesia at St. George's, University of London, UK. Jennifer M. Hunter is Professor of Anaesthesia at the University of Liverpool, UK. Mark S. Cooper is Clinical Senior Lecturer in Endocrinology and Diabetes at the Centre for Endocrinology, Diabetes and Metabolism, University of Birmingham, UK.

Table of Contents

Contributors	p. vii
Foreword	p. ix
Preface	p. xi
Perioperative care of patients with endocrine disease
Anaesthesia for patients with pituitary disease	p. 1
Thyroid disease	p. 14
Parathyroid disease	p. 28
Adrenal disease: cortex and medulla	p. 45
Pancreatic neuroendocrine tumours including carcinoid	p. 56
Multiple endocrine neoplasia	p. 65
Perioperative care of the patient with diabetes mellitus
Diabetes: aetiology and pathophysiology	p. 75
Drugs used in diabetes mellitus	p. 83
Management of diabetes in surgical inpatients	p. 93
Management of diabetes in obstetric patients	p. 101
Management of diabetes in paediatric surgery	p. 109
Management of diabetes in ambulatory surgery	p. 117
Endocrine disorders in the critically ill
The endocrine response to critical illness	p. 125
Tight glucose control using intensive insulin therapy in the critically ill	p. 134
Glucocorticoids in the critically ill	p. 144
Diabetic hyperglycaemic crises	p. 155
Thyroid dysfunction and critical care	p. 168
Disorders of sodium balance	p. 175
Index	p. 185
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