Table 2

Errors in Patient Preparation for Adrenal Surgery

Primary Aldosteronism
 
  • Potassium repletion
 
  • Blood pressure control
Cushing's Syndrome
 
  • Inhabition of glucocorticoid production when there are severe manifestations using metapyrone.
 
  • Control of diabetes
 
  • Pre-operative steroid administration
 
  • Operative steroid administration
Incidentalomas
 
  • Anesthetic preparation for pheochromocytoma - 5% have negative diagnostic studies.
Adrenal Carcinoma
 
  • Consent for adjacent organ removal
 
  • Failure to identify IVC involvement
Pheochromocytoma
  • Pre-operative catechole blockade
 
  • Volume expansion
 
  • Anesthesia consultation

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