History conflict and non-formulary medicine: a threat for anaesthesiologist in low and middle-income countries

The practice of complementary and non-formulary medicine has gained tremendous popularity due to their claimed beneficial effects in cardiac, respiratory and chronic diseases, as also other disorders. The most threatening aspect related to these practices pertains to the non-disclosure of its use by patients at the time of their preoperative assessment in elective or emergency setting. We report a case of profound, long-lasting unexplained hypotension during and after anaesthesia in a patient presented for emergency vocal cord surgery (cordectomy). He was taking complementary medicine for last 2 years. Serum cortisol level was sent postoperatively in intensive care unit that was found extremely low.

• Publication year

  2018

• Venue

  BMJ Case Reports

• Publication date

  2018-08-29

• Fields of study

  Medicine, History

• Identifiers
  DOI 10.1136/bcr-2017-224141PMID 30158256PMCID PMC6119358
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

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