Postoperative Sudden Hypotension Due to Relative Adrenal Insufficiency [Turk J Anaesthesiol Reanim]
Turk J Anaesthesiol Reanim. 2014; 42(5): 283-287 | DOI: 10.5152/TJAR.2014.33254  

Postoperative Sudden Hypotension Due to Relative Adrenal Insufficiency

Birsen Doğu, Hafize Öksüz, Nimet Şenoğlu, Cengizhan Yavuz, Gökçe Gişi
Department of Anaesthesiology and Reanimation, Kahramanmaraş Sütçü İmam University, Kahramanmaraş

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 stages of management of general anaesthesia including induction, extubation and maintenance. Many of the medications used for anaesthesia produce a mild to moderate decrease in the 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

Keywords: Blood pressure, hypotension, catecholamine, fluid therapy, adrenal insufficiency


Birsen Doğu, Hafize Öksüz, Nimet Şenoğlu, Cengizhan Yavuz, Gökçe Gişi. Postoperative Sudden Hypotension Due to Relative Adrenal Insufficiency. Turk J Anaesthesiol Reanim. 2014; 42(5): 283-287

Corresponding Author: Birsen Doğu, Türkiye


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