perioperative glucocorticoids
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Management
- continue glucocorticoids:
- increase if stress dose indicated
- equivalent of >= 10-20 mg prednisone per day for at least 3 weeks in the past 6-12 months[1]
- perioperative adrenal insufficiency
- if high risk (major) surgery
- hydrocortisone 50-100 mg IV before surgery, then 25-50 mg IV every 8 hours for 24-48 hours
- if low risk surgery:
- usual dose of glucocorticoid on day of surgery
More general terms
References
- ↑ 1.0 1.1 Medical Knowledge Self Assessment Program (MKSAP) 14, 15, 16, 17, 18, 19. American College of Physicians, Philadelphia 2006, 2009, 2012, 2015, 2018, 2022.
- ↑ Woodcock T, Barker P, Daniel S et al Guidelines for the management of glucocorticoids during the peri-operative period for patients with adrenal insufficiency: Guidelines from the Association of Anaesthetists, the Royal College of Physicians and the Society for Endocrinology UK Anaesthesia. 2020 May;75(5):654-663 PMID: https://www.ncbi.nlm.nih.gov/pubmed/32017012