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Interpretation of the UK Guidelines for the management of glucocorticoids during the peri-operative period for patients with adrenal insufficiency
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He Tian1, 2, Kang Chen1, *, Ping An1
Medical Journal of Chinese People’s Liberation Army | 2022, 47(7) : 647 - 652
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Medical Journal of Chinese People’s Liberation Army | 2022, 47(7): 647-652
• Special Issue on Adrenal Gland Diseases •
Interpretation of the UK Guidelines for the management of glucocorticoids during the peri-operative period for patients with adrenal insufficiency
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He Tian1, 2, Kang Chen1, *, Ping An1
Affiliations
  • 1Department of Endocrinology, the Frist Medical Center of Chinese PLA General Hospital, Beijing 100853, China
  • 2Department of Endocrinology, Jixi Jikuang Hospital, Jixi, Heilongjiang 158100, China
Published: 2022-07-28 doi: 10.11855/j.issn.0577-7402.2022.07.0647
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Surgical injury is a major stressor, because patients with adrenal insufficiency are unable to secrete enough cortisol during perisurgery, such as giving only physiological alternative doses of glucocorticoids can induce adrenal crisis, life-threatening.Based on this, in February 2020, the Association of Anaesthetists, the Royal College of Physicians and the Society for Endocrinology UK published the Guidelines for the management of glucocorticoids during the peri-operative period for patients with adrenal insufficiency.In order to better understand and learn from the guide and promote the standardization of perioperative glucocorticoid replacement therapy in patients with adrenal insufficiency in China, this paper explains the epidemiology of glucocorticoid, adrenal cortex and adrenal crisis and perioperative glucocorticoid supplementation from the main content of the guide.

adrenal insufficiency  /  perioperative period  /  glucocorticoids  /  interpretation of guideline
He Tian, Kang Chen, Ping An. Interpretation of the UK Guidelines for the management of glucocorticoids during the peri-operative period for patients with adrenal insufficiency[J]. Medical Journal of Chinese People’s Liberation Army, 2022 , 47 (7) : 647 -652 . DOI: 10.11855/j.issn.0577-7402.2022.07.0647
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Article Info
doi: 10.11855/j.issn.0577-7402.2022.07.0647
  • Receive Date：2021-11-18
  • Online Date：2025-12-16
  • Published：2022-07-28
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History
  • Received：2021-11-18
  • Accepted：2021-12-22
Affiliations
    1Department of Endocrinology, the Frist Medical Center of Chinese PLA General Hospital, Beijing 100853, China
    2Department of Endocrinology, Jixi Jikuang Hospital, Jixi, Heilongjiang 158100, China

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