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 practice.
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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