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Clinical Pathways promote evidence based, safe, and high-value care for patients by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject matter experts, informed by methodical review of available evidence and consensus among committee members. 

Clinical Pathway: 

Inclusion criteria: 

  • Any child known or presumed to be at risk for adrenal insufficiency or adrenal suppression who will be undergoing an anesthetic.

Team members involved in the development: 

  • K. Halpin, MD, MPH | Endocrinology | Committee chair
  • N. Mitre, MD | Endocrinology | Committee member 
  • T. Glenski, MD | Anesthesia & Evidence Based Practice Department | Committee member 
  • J. Bartlett, PhD, RN | Evidence Based Practice Department | Committee member 

Publication dates: 

  • Finalized date: 5/20/2016; 7/10/2019; 7/2022 
  • Next expected revision date: 7/2025 

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These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.