Why the study?
What is the appropriate amount and duration of perioperative glucocorticoid coverage for glucocorticoid-dependent patients undergoing surgery?
Population
Glucocorticoid-dependent patients who require anesthesia and surgery
Design
Review
Authors
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Supports reduced perioperative glucocorticoid coverage; leaves open confirmation by randomized trials.
What is the appropriate amount and duration of perioperative glucocorticoid coverage for glucocorticoid-dependent patients undergoing surgery?
The review suggests that traditional perioperative glucocorticoid coverage is excessive and proposes tailored recommendations based on preoperative dose, duration of use, and surgical stress.
Salem et al. (1994) studied this question.
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