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Letters Avoiding acute adrenal crises

Etomidate puts patients at risk of adrenal crisis

BMJ 2012; 345 doi: (Published 06 November 2012) Cite this as: BMJ 2012;345:e7444
  1. Andrew J Hartle, consultant anaesthetist1,
  2. Philip H Peel, consultant anaesthetist 2
  1. 1St Mary’s Hospital, Imperial College Healthcare NHS Trust, London W2 6HP, UK
  2. 2Central Middlesex Hospital, North West London Hospitals NHS Trust, London
  1. startle65{at}

Wass and Arlt do not mention that certain anaesthetic techniques may increase patients’ risk of adrenal crisis.1

Because the carboxylated imidazole induction …

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