Présenté par Solène FORVEILLE et Guillaume URIEN sous la direction du Dr Nicolas COURTIN explorant la gestion des patients présentant une insuffisance surrénalienne en périopératoire. Présenté en Octobre 2024.

Ce topo constitue la 1ere partie d’un sujet majeur en anesthésie-réanimation : L’Usage des corticoïdes en périopératoire.

Le résumé sous forme de pdf.

Corticoides-peri-op-part-1_IS

La présentation au téléchargement.

Références :

  1. B. Oudet, J. Rigabert, J. Young, M.-L. Raffin-Sanson. Physiologie et exploration des sécrétions de cortisol et d’androgènes par la surrénale. EMC Endocrinologie – Nutrition, Volume 21, Numéro 2, Page 1-16. 2010
  2. White P.C., Mune T., Agarwal A.K.: 11 beta-hydroxysteroid dehydrogenase and the syndrome of apparent mineralocorticoid excess . Endocr. Rev. 1997; 18: pp. 135-156.
  3. H Kehlet. A rational approach to dosage and preparation of parenteral glucocorticoid substitution therapy during surgical procedures. A short review Acta Anaesthesiol Scand. 1975;19(4):260-4.
  4. Prete A., Yan Q., Al-Tarrah K., et al. The cortisol stress response induced by surgery: a systematic review and meta-analysis Clin Endocrinol (Oxf) 2018 ; 89 (5) : 554-567
  5. Donati A, Ruzzi M, Adrario E, Pelaia P, Coluzzi F, Gabbanelli V, et al. A new and feasible model for predicting operative risk. Br J Anaesth. 2004;93:393–9
  6. Debono M, Ghobadi C, Rostami-Hodjegan A, et al. Modified-release hydrocortisone to provide circadian cortisol profiles. J Clin Endocrinol Metab. 2009; 94(5): 1548-1554.
  7. B Chernow, H R Alexander, R C Smallridge, W R Thompson, D Cook, D Beardsley, M P Fink, C R Lake, J R Fletcher. Hormonal responses to graded surgical stress. Arch Intern Med. 1987 Jul;147(7):1273- 8.
  8. Liu M.M., Reidy A.B., Saatee S., Collard C.D. Perioperative steroid management: approaches based on current evidence Anesthesiology 2017 ; 127 (1) : 166-172
  9. A.-G. Lopez,S. Menon, J.-M. Kuhn, H. Lefebvre. Insuffisance surrénale. EMC – EndocrinologieNutrition 1 Volume 16, Numéro 3, juillet 2019
  10. Husebye E.S., Pearce S.H., Krone N.P., Kämpe O. Adrenal insufficiency. The Lancet 2021 ; 397 (10274) : 613-629
  11. MacKenzie CR, Goodman SM. Stress dose steroids: myths and perioperative medicine. Curr Rheumatol Rep. 2016;18:47
  12. Donegan D., Bancos I. Opioid-induced adrenal insufficiency Mayo Clin Proc 2018 ; 93 (7) : 937-944
  13. Li T, Cunningham JL, Gilliam WP, Loukianova L, Donegan DM, Bancos I. Prevalence of opioidinduced adrenal insufficiency in patients taking chronic opioids. J Clin Endocrinol Metab. 2020;105(10):e3766–e3775
  14. Andrioli M., Pecori Giraldi F., Cavagnini F. Isolated corticotrophin deficiency Pituitary 2006 ; 9 (4) : 289-295
  15. Ngaosuwan K., Johnston D.G., Godsland I.F., et al. Increased mortality risk in patients with primary and secondary adrenal insufficiency J Clin Endocrinol Metab 2021 ; 106 (7)
  16. Reznik Y, Barat P, Bertherat J, Bouvattier C, Castinetti F, Chabre O, Chanson P, Cortet C, Delemer B, Goichot B, Gruson D, Guignat L, Proust-Lemoine E, Sanson MR, Reynaud R, Boustani DS, Simon D, Tabarin A, Zenaty D. SFE/SFEDP adrenal insufficiency French consensus: Introduction and handbook. Ann Endocrinol (Paris). 2018 Feb;79(1):1-22
  17. Williams DM. Clinical pharmacology of corticosteroids. Respir Care 2018; 63(6):655–670
  18. O. Imauven, F. Marty, C. Courtillot. Guidelines for using steroids in the operating room. Le praticien en anesthésie réanimation. Vol 27, numéro 5, pages 289-300 (octobre 2023)
  19. Czock D., Keller F., Rasche F.M., Häussler U. Pharmacokinetics and pharmacodynamics of systemically administered glucocorticoids Clin Pharmacokinet 2005 ; 44 (1) : 61-98
  20. Burton P.J., Waddell B.J. Dual function of 11β-Hydroxysteroid dehydrogenase in placenta: modulating placental glucocorticoid passage and local steroid action1 Biol Reprod 1999 ; 60 (2) : 234-240
  21. McGoldrick E., Stewart F., Parker R., Dalziel S.R. Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth Cochrane Database Syst Rev 2020
  22. Pelewicz K., Miśkiewicz P. Glucocorticoid withdrawal–an overview on when and how to diagnose adrenal insufficiency in clinical practice Diagnostics 2021 ; 11 (4) : 728
  23. AG Monge Chacón, C Wang, D Waqar, SA Syeda, R Kumar, DR Meghana. Long-Term Usage of Oral Glucocorticoids Leading to Adrenal Insufficiency: A Comprehensive Review of the Literature. Cureus. 2023 May 12;15(5):e38948
  24. RM Joseph, AL Hunter, DW Ray, W G Dixon. Systemic glucocorticoid therapy and adrenal insufficiency in adults: A systematic review Semin Arthritis Rheum 2016 ; 46 ( 1 ): 133 – 141
  25. Broersen LH, Pereira AM, Jørgensen JO, Dekkers OM. Adrenal insufficiency in corticosteroids use: systematic review and meta-analysis. J Clin Endocrinol Metab 2015; 100(6):2171–2180.
  26. Pokrzywa A., Ambroziak U., Foroncewicz B., Macech M., Pączek L., Florczak M., Mucha K., Bednarczuk T. Detecting adrenal insufficiency in patients with immunoglobulin A nephropathy, lupus nephritis, and transplant recipients qualified for glucocorticoid withdrawal. Polish Arch. Intern. Med. 2019;129:874–882.
  27. Henzen C., Suter A., Lerch E., Urbinelli R., Schorno X.H., Briner V.A. Suppression and recovery of adrenal response after short-term, high-dose glucocorticoid treatment. Lancet. 2000;355:542–545
  28. A. Tabarin, M.L. Nunes. Syndrome de Cushing. EMC Endocrinologie – Nutrition, Volume 33, Numéro 3, Page 1-17
  29. McMahon M., Gerich J., Rizza R. Effects of glucocorticoids on carbohydrate metabolism Diabetes Metab Rev 1988 ; 4 (1) : 17-3010
  30. Barnes PJ. Anti-inflammatory actions of glucocorticoids: molecular mechanisms. Clin Sci (Lond). 1998 Jun;94(6):557-72
  31. Gonzalez Santiago T.M., Wetter D.A., Kalaaji A.N., Limper A.H., Lehman J.S. Pneumocystis jiroveci pneumonia in patients treated with systemic immunosuppressive agents for dermatologic conditions: a systematic review with recommendations for prophylaxis Int J Dermatol 2016 ; 55 (8) : 823-830
  32. Annane D, Bellissant E, Bollaert PE, Briegel J, Keh D, Kupfer Y. Corticosteroids for treating sepsis. Cochrane Database Syst Rev. 2015 Dec 3;(12):CD002243
  33. The WHO Rapid Evidence Appraisal for COVID-19 Therapies (REACT) Working Group. Association Between Administration of Systemic Corticosteroids and Mortality Among Critically Ill Patients With COVID-19: A Meta-analysis. JAMA. 2020;324(13):1330–1341
  34. Brouwer MC, McIntyre P, Prasad K, van de Beek D. Corticosteroids for acute bacterial meningitis. Cochrane Database of Systematic Reviews 2015, Issue 9. Art
  35. White K, Arlt W. Adrenal crisis in treated Addison’s disease: a predictable but under-managed event. Eur J Endocrinol 2010; 162:115-20
  36. Hahner S, Loeffler M, Bleicken B, et al. Epidemiology of adrenal crisis in chronic adrenal insufficiency: the need for new prevention strategies. Eur J Endocrinol 2010; 162:597-602
  37. Hahner S, Spinnler C, Fassnacht M, et al. High incidence of adrenal crisis in educated patients with chronic adrenal insufficiency: a prospective study. J Clin Endocrinol Metab 2015; 100:407-16
  38. Hosokawa M, Ichihashi Y, Sato Y, et al. Incidence and Risk Factors for Adrenal Crisis in Pediatric – onset Adrenal Insufficiency: A Prospective Study. J Clin Endocrinol Metab. 2023 Dec 21.
  39. Allolio B. Extensive expertise in endocrinology. Adrenal crisis. Eur J Endocrinol . 2015;172(3):R115– R124
  40. Miller BS, Spencer SP, Geffner ME, Gourgari E, Lahoti A, Kamboj MK, et al. Emergency management of adrenal insufficiency in children: advocating for treatment options in outpatient and field settings. J Investig Med . 2020;68(1):16–25
  41. Lousada LM, Mendonca BB, Bachega TASS. Adrenal crisis and mortality rate in adrenal insufficiency and congenital adrenal hyperplasia. Arch Endocrinol Metab. 2021 Nov 3;65(4):488-494.
  42. Bornstein SR, Allolio B, Arlt W, Barthel A, Don-Wauchope A, Hammer GD, Husebye ES, Merke DP, Murad MH, Stratakis CA, Torpy DJ: Diagnosis and treatment of primary adrenal insufficiency: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab 2016; 101:364–89
  43. Cortet C., Barat P., Zenaty D., Guignat L., Chanson P. SFE/SFEDP adrenal insufficiency consensus. Group 5: Acute adrenal insufficiency in adults and pediatric patients Ann Endocrinol 2017 ; 78 : 535-543
  44. Arlt W, Society for Endocrinology Clinical Committee. SOCIETY FOR ENDOCRINOLOGY ENDOCRINE EMERGENCY GUIDANCE: Emergency management of acute adrenal insufficiency (adrenal crisis) in adult patients. Endocr Connect. 2016 Sep. 5 (5):G1-G3
  45. Repping-Wuts HJ, Stikkelbroeck NM, Noordzij A, Kerstens M, Hermus AR. A glucocorticoid education group meeting: an effective strategy for improving self-management to prevent adrenal crisis. Eur J Endocrinol. 2013;169:17–22.
  46. Harsch IA, Schuller A, Hahn EG, Hensen J. Cortisone replacement therapy in endocrine disorders – quality of self-care. J Eval Clin Pract. 2010;16:492–498
  47. Kehlet H, Binder C. Adrenocortical function and clinical course during and after surgery in unsupplemented glucocorticoid-treated patients. Br J Anaesth. 1973;45:1043–8.
  48. Chen Cardenas S.M., Santhanam P., Morris-Wiseman L., Salvatori R., Hamrahian A.H. Perioperative evaluation and management of patients on glucocorticoids. J Endocr Soc 2022 ; 7(2) : bvac185
  49. De Lange DW, Kars M. Perioperative glucocorticosteroid supplementation is not supported by evidence. Eur J Intern Med. 2008;19:461–7
  50. Khazen BF, El-Hussuna A. The use of a perioperative supra-physiological dose of glucocorticoid is not supported by evidence – a systematic review. Dan Med J. 2018;65:A5488
  51. Glowniak JV, Loriaux DL. A double-blind study of perioperative steroid requirements in secondary adrenal insufficiency. Surgery. 1997;121(2):123–129
  52. Zaghiyan K, Melmed GY, Berel D, Ovsepyan G, Murrell Z, Fleshner P. A prospective, randomized, noninferiority trial of steroid dosing after major colorectal surgery. Ann Surg. 2014;259(1):32–37
  53. Mathis AS, Shah NK, Mulgaonkar S. Stress dose steroids in renal transplant patients undergoing lymphocele surgery. Transplant Proc. 2004;36(10):3042–3045.
  54. Zaghiyan KN, Murrell Z, et al. High-dose perioperative corticosteroids in steroid-treated patients undergoing major colorectal surgery: necessary or overkill? Am J Surg. 2012;204(4):481–486
  55. Salem M, Tainsh RE, Bromberg J, Loriaux DL, Chernow B. Perioperative glucocorticoid coverage: a reassessment 42 years after emergence of a problem. Ann Surg. 1994;219(4):416–425
  56. Woodcock T., Barker P., Daniel S., et al. Guidelines for the management of glucocorticoids during the peri-operative period for patients with adrenal insufficiency Anaesthesia 2020 ; 75 (5) : 654- 663
  57. Udelsman R, Norton JA, Jelenich SE, et al. . Responses of the hypothalamic-pituitary-adrenal and renin-angiotensin axes and the sympathetic system during controlled surgical and anesthetic stress. J Clin Endocrinol Metab. 1987;64:986–994.
  58. Hsu AA, von Elten K, Chan D, et al. . Characterization of the cortisol stress response to sedation and anesthesia in children. J Clin Endocrinol Metab. 2012;97:E1830–E1835
  59. Chilkoti GT, Singh A, Mohta M, Saxena AK. Perioperative « stress dose » of corticosteroid: Pharmacological and clinical perspective. J Anaesthesiol Clin Pharmacol. 2019 Apr-Jun;35(2):147- 152
  60. David B. Wax. One Size Fits All for Stress-dose Steroids. Anesthesiology 2018; 128:680–681 Liu M.M., Reidy A.B., Saatee S., Collard C.D. In Reply. Anesthesiology 2018; 128:681
  61. Fleseriu M, Hashim IA, Karavitaki N, et al. Hormonal replacement in hypopituitarism in adults: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab.2016;101(11):3888–3921
  62. F. Beuschlein, T. Else, I. Bancos, S. Hahner, and al. European Society of Endocrinology and Endocrine Society Joint Clinical Guideline: Diagnosis and Therapy of Glucocorticoid-induced Adrenal Insufficiency, The Journal of Clinical Endocrinology & Metabolism, Volume 109, Issue 7, July 2024, Pages 1657–1683
  63. Arafah BM. Perioperative glucocorticoid therapy for patients with adrenal insufficiency: dosing based on pharmacokinetic data. J Clin Endocrinol Metab. 2020;105(3):753–761
  64. Salvatori R. Perioperative glucocorticoid therapy in adrenal insufficiency: what is the correct dose? J Clin Endocrinol Metab. 2020;105(5):2078–2079
  65. J. Bertherat, L. Guignat, C. Bouvattier. Insuffisance surrénalienne aiguë. Orphanet Urgences 2019. http://www.orpha.net/data/patho/Emg/Int/fr/InsuffisanceSurrenalienneAigue_FR_fr_EMG_ORP HA95409.pdf