Endocrinology In Anaesthesia And Surgery

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.

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.

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.

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.

Surgical Endocrinology presents the fundamentals and practical application of the subject matter. It discusses the molecular background and physiology of the endocrine systems. It addresses the legal aspects of endocrine surgery such as duty of care, and breach of such duty. Some of the topics covered in the book are the principles of endocrine surgery; molecular structures of organisms; physiology of endocrine system; multiple endocrine neoplasia and molecular genetics; non-surgical management of pituitary tumors; assay formulations and automation technology; syndrome of ectopic hormone production; and anesthesia for pituitary surgery. The classifications of endocrine problems for pregnant women are fully covered. The definition and symptoms of thyrotoxicosis are discussed in detail. The text describes in depth the different histological imaging methods. The anatomy and surgery of anterior pituitary are completely presented. A chapter is devoted to the classification of pituitary adenomas and other tumours. The book can provide useful information to surgeons, doctors, students, and researchers.

There has been a recent surge of interest within the world of endocrine surgery in the US and worldwide with resultant significant changes on the way surgery is performed. Where before a 5-7 year period was taken for a general surgeon, after which the medic would take a 1 year residency then a fellowship, now they are looking at 3 years core surgery and then going straight to specialise, opening up the discipline to more people. The book is a valuable tool for those revising for board examinations and Fellowship examinations. The text, compiled by expert authors from the USA, Europe and Asia, provides an international perspective on the basic knowledge and clinical management.