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- W4245777911 abstract "The parathyroid glands are responsible for calcium homeostasis, which is necessary for appropriate functioning of the musculoskeletal and nervous systems. Parathyroid adenoma remains the most common indication for surgery. Anaesthetic considerations for parathyroid surgery include good hydration, appropriate positioning and monitoring of renal function along with serum electrolytes. The adrenal cortex is mainly responsible for secretion of mineralocorticoids, glucocorticoids and androgens, whereas the medulla consists of preganglionic sympathetic ganglion, which secretes epinephrine, norepinephrine and dopamine. Adrenocortical disease results in disturbance of water balance, electrolytes, cardiovascular instability and metabolic disturbances, and the catecholamine-secreting tumours can cause a sympathetic storm causing with hypertension and arrhythmias. Correction of water, electrolyte imbalance and blood pressure control with invasive monitoring, appropriate positioning, analgesia with appropriate hormone replacement therapy form the key principles of the anaesthetic management." @default.
- W4245777911 created "2022-05-12" @default.
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- W4245777911 date "2020-11-01" @default.
- W4245777911 modified "2023-09-25" @default.
- W4245777911 title "Clinical aspects of endocrinology: parathyroid and adrenal gland disorders" @default.
- W4245777911 doi "https://doi.org/10.1016/j.mpaic.2020.08.011" @default.
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