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This protocol standardises the steroid management of children with adrenal insufficiency who require surgery, dental extractions or other procedures performed.
This protocol should be used for children with adrenal insufficiency when they need to undergo surgery, dental extractions or other procedures.
Conditions: Children on daily replacement hydrocortisone treatment, eg.
Please inform endocrine nurse or registrar at least 48 hours prior to procedure to discuss steroid cover for the operation and post-operative period,
Endocrine nurse - page 18005 ext 84568 Endocrine registrar - page 18301
Any concerns contact Endocrine Team
DO NOT DISCHARGE HOME without discussing with endocrine team
[given at induction]
[50mg hydrocortisone in 50mls 0.9% saline]
Last reviewed: 01 October 2019
Next review: 01 October 2021
Author(s): Guftar Shaikh
Approved By: Paediatric Clinical Effectiveness & Risk Committee