Essentials of Anaesthesia for Endocrine and Related Surgeries

Endocrine surgery encompasses a broad spectrum of complex procedures, including thyroidectomy, parathyroidectomy, adrenalectomy, pancreatic resections, and pituitary surgery, often intersecting with multimodal oncologic management. These procedures present distinctive anaesthetic challenges, such as catecholamine-induced haemodynamic instability during pheochromocytoma resection, upper airway obstruction due to retrosternal goitre, dysrhythmias associated with hypercalcaemia in primary hyperparathyroidism, and multifaceted neuroendocrine derangements encountered in patients with Cushing’s syndrome.
In addition, several related surgical procedures—such as breast surgery, and operations for parotid, submandibular, and other salivary gland tumours—are frequently included within the scope of endocrine surgical practice. Although these structures are not classical endocrine glands, breast surgery constitutes the most commonly performed procedure by endocrine surgeons and carries its own anaesthetic considerations.
Anaesthetic proficiency in this domain demands a comprehensive understanding of the underlying endocrinopathies, altered pharmacodynamics, vigilant haemodynamic monitoring, and seamless collaboration within a multidisciplinary team. Essentials of Anaesthesia for Endocrine and Related Surgeries has been conceived to provide a structured, evidence-based, and clinically relevant guide for anaesthesiologists at various stages of their professional journey. By integrating foundational principles with practical insights, this book aims to facilitate safe, informed, and patient-centred anaesthetic care in the evolving field of endocrine surgery.