robertahere is a web site about anaestesia and adrenal disorders... including pulling a tooth ...or minor surgery.
http://www.4um.com/tutorial/anaesth/adrenal.htm
Suggested regime:
Minor surgery (dental extractions): hydrocortisone 25mg mane and 25mg tarde. Normal dose day 2.
Moderate surgery (hernia repair): hydrocortisone 25mg TID x 2/7. Normal dose day 3.
Major surgery (bowel resection): hydrocortisone 50mg TID x 3/7. Normal dose day 4.
Equivalent doses: hydrocortisone 100mg = prednisolone 25mg = methylprednisolone 20 mg = triamcinolone 20mg = dexamethasone 4mg
Conduct of anaesthesia
For the most part the conduct of anaesthesia should not be any different from your usual practise. Nonetheless, one should endeavor to minimise the stress response by ensuring good quality analgesia and using "blunting" techniques (fentanyl or lignocaine for induction, incision etc). Epidural analgesia may be particularly useful in this regard.