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

BMJ Case Reports
Muhammad Faisal KhanFaisal Shamim

Abstract

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.

References

Jul 16, 2003·Allergy·B Niggemann, C Grüber
Jun 7, 2005·Evidence-based Complementary and Alternative Medicine : ECAM·Babar T Shaikh, Juanita Hatcher
Jul 15, 2009·British Journal of Clinical Pharmacology·Richard J Fitzgerald
Jun 1, 2013·Ayu·Sukhminder Jit Singh Bajwa, Aparajita Panda

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