In this section
Adrenal crisis and acute adrenal insufficiency for
full assessment and management guidelines of an unwell child with
Children with known or suspected adrenal insufficiency require
increased doses of hydrocortisone in the peri-operative
period. This is required to replace the body's usual 'stress'
cortisol response in such a scenario; if adequate replacement is
not given, an adrenal crisis may be precipitated.
*The doses outlined equate to approximately
50-75mg/m2 as a stat dose initially, followed by 50-75 mg
per m2/day divided in 4 doses (6 hourly). These
doses will also cover the patient's mineralocorticoid replacement
over this dosing period.
Please discuss with the endocrinology team who will advise on
individual dosing schedules.
Last updated May 2011