Anaesthesia For Patients With Endocrine Disease

This book provides the anaesthetist with a comprehensive examination of each of the endocrine conditions, covering underlying pathophysiological problems, and guidance on optimal anaesthetic care.

Endocrinology is a rapidly developing field with many new concepts. In addition, many new hormones have been described since 1960. The structural analysis and synthesis of several intestinal hormones such as gastrin, secretin, glucagon and cholecystokinin have been achieved. Several hypothalamic hormones controlling pituitary function have been identified and in certain cases synthesized. The existence of hormonal peptides se creted from ectopic sites has been recognized. The development of new techniques of hormone assay has stimulated studies on the effects of anesthetics on the endocrine system. Although the endocrine response to anesthesia is less than its response to major surgical procedures, the effects of anesthesia on metabolism and on the autonomie nervous system are substantial. The primary purpose of this book is to increase the safety of patients undergoing anesthesia by making available the latest developments in this field. The major subjects examined in the book are endocrine responses to anesthesia and surgery, the effects of endocrine disease on anesthesia and sur gery, and pre-operative and post-operative management of patients with endocrine disease. The book is designed for students, residents and practicing physicians in the field of anesthesia and surgery. Many tables and figures are empIoyed to improve the presentation, particuIarly those relating to pharmacology and to the practical aspects of therapy.

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.

The development of accurate hormonal assays in recent years has evoked much interest in the area of anaesthesia and surgery. In an effort to allow an exchange of ideas and new information in this area, the First International Symposium on Endocrinology in Anaesthesia and Surgery was held in Bonn during September 1978. The contents of this book represent much of the information presented by the leading authorities in this field. The presentations were grouped in three areas: 1. Basic problems of endocrinology in anaesthesia and surgery; 2. The response of the endocrine system to anaesthesia and surgery; 3. Hormone and anaesthetic management of endocrine disease. As with any multi-authored text, there is both repetition and diversity but hopefully the reader will be able to obtain much of the useful information. As Editors, we wish to express our deep appreciation to Profes sor R. Frey and Springer-Verlag for including this book in the series on "Anaesthesiology and Intensive Care Medicine". H. Stoeckel T. Oyama Table of Contents I. Basic Problems of Endocrinology in Anaesthesia and Surgery H. Breuer Basic Principles Regulating the Endocrine System ... 3 G. Wesemann and E. Grote Pathophysiology of Intra- and Postoperative Stress .. ... 10 M. Trede Surgical Treatment of Endocrine Disorders .. ... 24 T. Oyama Influence of Anaesthesia on the Endocrine System ... 39 L. Nocke-Finck Radioimmunological Determination of Hormones.

A fully updated new edition of the only text solely focused on anesthesia of dogs and cats with co-existing disease The revised Second Edition of Canine and Feline Anesthesia and Co-Existing Disease expands and updates the only book solely dedicated to practical anesthetic techniques for dogs and cats with co-existing disease. The book now includes additional images in full color, new discussions of cutting-edge drugs and techniques, and updated chapters and information throughout. This text provides in-depth and clinically-useful information that can easily be incorporated into the progressive companion animal practice. It offers more than 200 new images and 4 new chapters focusing on urogenital concerns, genetic diseases, nociceptive disorders, and cardiopulmonary resuscitation and post-resuscitation care. It is intuitively organized by body system to allow for quick and easy reference. Key features: Presents concise, yet comprehensive anesthetic considerations and management plans for dogs and cats with co-existing disease and patients with altered physiology Explores commonly-encountered disease processes and their anesthetic management, including cardiovascular, respiratory, renal, neurologic, endocrine, and hepatic diseases, among others Highlights important physiologic alterations encountered in neonatal, pregnant, and geriatric patients and their implications for anesthetic management Includes access to a companion website with relevant clinical videos at www.wiley.com/go/johnson/canine Canine and Feline Anesthesia and Co-Existing Disease is a must-have reference for veterinarians, veterinary technicians, and veterinary students seeking a one-stop resource for anesthetic techniques in veterinary patients with co-existing disease and/or altered physiology.