Adrenalectomy refers to the surgical removal of one or both adrenal glands. Common indications for performing adrenalectomy are pheochromocytoma, adrenocortical carcinoma, cushing’s syndrome, and metastatic disease. Anaesthetic management of these patients is complicated by endocrine dysfunction, potential for severe hemodynamic and potential electrolyte instability. This article discusses key anaesthetic considerations, including preoperative evaluation, intraoperative management, and postoperative care, with a focus on optimizing patient safety and outcomes.
Keywords: Adrenal glands, Adrenal cortex, Adrenal medulla, Zona glomerulosa, Mineralocorticoids.