Postoperative adrenal insufficiency and perioperative steroid management

Postoperative adrenal insufficiency (PAI) leading to refractory hypotension and resultant circulatory collapse is a rare but potentially devastating complication. In this review, we aim to describe the phenomenon of postoperative adrenal insufficiency, clarify approaches to management, and summarize current literature that informs management of perioperative steroids in the colorectal surgery patient population.