Two Cases With Cushing Syndrome: What an Anesthesiologist Should Know

Abstract

     Cushing syndrome is a multietiologic clinical situation, resulting in several features like obesity, hyperglycemia, hypertension, proximal muscle weakness, skin thinning, menstrual irregularities, buffalo hump, and purple striae. In perioperative period the anesthesiologist must deal with difficult ventilation and intubation, hemodynamic disturbances, volume overload and hypokalemia, glucose intolerance and diabetes, maintaining the blood cortisol level and preventing the glucocorticoid deficiency. This syndrome is quite rare and its features make these patients very difficult to the anaesthesiologist.




doi:10.4021/jem5w