TY - JOUR T1 - History conflict and non-formulary medicine: a threat for anaesthesiologist in low and middle-income countries JF - BMJ Case Reports DO - 10.1136/bcr-2017-224141 VL - 2018 SP - bcr-2017-224141 AU - Muhammad Faisal Khan AU - Areeba Muzaffar AU - Faisal Shamim Y1 - 2018/08/29 UR - http://casereports.bmj.com/content/2018/bcr-2017-224141.abstract N2 - 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. ER -