Postoperative Sudden Hypotension Due to Relative Adrenal Insufficiency
PDF
Cite
Share
Request
Case Report
P: 283-287
October 2014

Postoperative Sudden Hypotension Due to Relative Adrenal Insufficiency

Turk J Anaesthesiol Reanim 2014;42(5):283-287
1. Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Kahramanmaraş, Türkiye
No information available.
No information available
Received Date: 13.08.2013
Accepted Date: 23.10.2013
Publish Date: 09.07.2014
PDF
Cite
Share
Request

ABSTRACT

Systemic blood pressure is regulated by three mechanisms: the sympathetic nervous system, the renin-angiotensin system, and the arginine-vasopressin system. Hypotension is a condition that can occur at any stage of management of general anaesthesia, including induction, extubation, and maintenance. Many of the medications used for anaesthesia produce a mild to moderate decrease in systemic vascular resistance (SVR) with a subsequent decrease in arterial blood pressure. Profound and sustained hypotension, however, can have a global impact, resulting in a failure to adequately perfuse systemic capillary networks. The following report describes the case of a 69-year-old man undergoing surgery for total hip replacement who had hypotension that was refractory to fluid administration and inotropic agents at the end of the surgery. In this case study, the role of methylprednisolone therapy in catecholamine-resistant hypotension is also discussed.