title: Anesthetic considerations on adrenal gland surgery.
abstract: Adrenal gland surgery needs a multidisciplinary team including endocrinologist, radiologist, anesthesiologist, and surgeon. The indications for adrenal gland surgery include hormonal secreting and non-hormonal secreting tumors. Adrenal hormonal secreting tumors present to the anesthesiologist unique challenges requiring good preoperative evaluation, perioperative hemodynamic control, corrections of all electrolytes and metabolic abnormalities, a detailed and careful anesthetic strategy, overall knowledge about the specific diseases, control and maintaining of postoperative adrenal function, and finally a good collaboration with other involved colleagues. This review will focus on the endocrine issues, as well as on the above-mentioned aspects of anesthetic management during hormone secreting adrenal gland tumor resection.
authors.affiliation: Department of Anesthesiology and Intensive Care Medicine, "Mother Teresa" University Hospital Center, Tirana, Albania.
authors.forename: Rudin
authors.initials: R
authors.lastname: Domi
authors.affiliation: Department of Anesthesiology and Intensive Care Medicine, "Mother Teresa" University Hospital Center, Tirana, Albania.
authors.forename: Hektor
authors.initials: H
authors.lastname: Sula
authors.affiliation: Department of General Surgery, "Mother Teresa" University Hospital Center, Tirana, Albania.
authors.forename: Myzafer
authors.initials: M
authors.lastname: Kaci
authors.affiliation: Department of General Surgery, "Mother Teresa" University Hospital Center, Tirana, Albania.
authors.forename: Sokol
authors.initials: S
authors.lastname: Paparisto
authors.affiliation: Department of Oncologic Surgery, "Mother Teresa" University Hospital Center, Tirana, Albania.
authors.forename: Artan
authors.initials: A
authors.lastname: Bodeci
authors.affiliation: Department of General Surgery, "Mother Teresa" University Hospital Center, Tirana, Albania.
authors.forename: Astrit
authors.initials: A
authors.lastname: Xhemali
keywords: Adrenal gland; General anesthesia; Preoperative evaluation