Pituitary disease and anaesthesia

Transsphenoidal pituitary surgery is a relatively common procedure in the UK and patients with pituitary gland tumours comprise a significant proportion of the neurosurgical population. Patients with pituitary disease present unique anaesthetic challenges because of hormone hypersecretion, pituitary...

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Bibliographic Details
Published in:Anaesthesia and intensive care medicine Vol. 24; no. 6; pp. 348 - 352
Main Authors: Rhodes, Kim, John, Robert, Luoma, Astri
Format: Journal Article
Language:English
Published: Elsevier Ltd 01-06-2023
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Summary:Transsphenoidal pituitary surgery is a relatively common procedure in the UK and patients with pituitary gland tumours comprise a significant proportion of the neurosurgical population. Patients with pituitary disease present unique anaesthetic challenges because of hormone hypersecretion, pituitary hypofunction, or tumour mass effect. Respiratory and cardiovascular sequelae of pituitary tumours also pose challenges for anaesthetists. A thorough understanding of the anatomy, physiology and pathology is required to manage these patients safely in the perioperative period. We aim to review the key principles involved in the preoperative assessment, intraoperative management, and postoperative care of these patients.
ISSN:1472-0299
1878-7584
DOI:10.1016/j.mpaic.2023.03.012