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REVIEW ARTICLE
Year : 2011  |  Volume : 15  |  Issue : 8  |  Page : 322-328

Cushing's surgery: Role of the anesthesiologist


Department of Anesthesiology, Intensive Care, Emergency, and Toxicology, University Hospital Center "Mother Theresa", Tirana, Albania

Correspondence Address:
Rudin Domi
Department of Anesthesiology, Intensive Care, Emergency, and Toxicology, University Hospital Center "Mother Theresa", Tirana
Albania
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2230-8210.86975

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Cushing's syndrome is a clinical situation, caused by excessive glucocorticoid level, resulting in several features such as central obesity, supraclavicular fat, "moon face," "buffalo hump," hyperglycemia, metabolic alkalosis, hypokalemia, poor wound healing, easy bruising, hypertension, proximal muscle weakness, thin extremities, skin thinning, menstrual irregularities, and purple striae. In the perioperative period, the anesthesiologist must deal with difficult ventilation and intubation, hemodynamic disturbances, volume overload and hypokalemia, glucose intolerance, and diabetes, maintaining the blood cortisol level and preventing the glucocorticoid deficiency. This syndrome is quite rare and its features make these patients very difficult to the anesthesiologist.


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