PT  - JOURNAL ARTICLE
AU  - Muhammad Faisal Khan
AU  - Areeba Muzaffar
AU  - Faisal Shamim
TI  - History conflict and non-formulary medicine: a threat for anaesthesiologist in low and middle-income countries
AID  - 10.1136/bcr-2017-224141
DP  - 2018 Aug 29
TA  - BMJ Case Reports
PG  - bcr-2017-224141
VI  - 2018
4099  - http://casereports.bmj.com/content/2018/bcr-2017-224141.short
4100  - http://casereports.bmj.com/content/2018/bcr-2017-224141.full
AB  - 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.