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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| Published in: | Anaesthesia and intensive care medicine Vol. 24; no. 6; pp. 348 - 352 |
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| Main Authors: | , , |
| Format: | Journal Article |
| Language: | English |
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Elsevier Ltd
01-06-2023
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| Abstract | 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. |
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| AbstractList | 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. |
| Author | Luoma, Astri Rhodes, Kim John, Robert |
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| Cites_doi | 10.1016/j.wjorl.2020.01.005 10.1016/j.mpaic.2020.03.003 10.1097/01.aco.0000432521.01339.ab 10.1093/bjaceaccp/mkr014 10.3803/EnM.2022.1546 |
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| Copyright | 2023 |
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| Keywords | pituitary transsphenoidal surgery prolactinoma diabetes insipidus Cushing's disease Acromegaly anaesthesia |
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| References | Byun (10.1016/j.mpaic.2023.03.012_bib1) 2022; 37 Menon (10.1016/j.mpaic.2023.03.012_bib5) 2011; 11 Appleby (10.1016/j.mpaic.2023.03.012_bib4) 2020; 21 Dunn (10.1016/j.mpaic.2023.03.012_bib2) 2013; 26 Hanson (10.1016/j.mpaic.2023.03.012_bib3) 2020; 6 |
| References_xml | – volume: 6 start-page: 84 year: 2020 ident: 10.1016/j.mpaic.2023.03.012_bib3 article-title: Perioperative management of endoscopic transsphenoidal pituitary surgery publication-title: World J Otorhinolaryngol Head Neck Surg doi: 10.1016/j.wjorl.2020.01.005 contributor: fullname: Hanson – volume: 21 start-page: 312 year: 2020 ident: 10.1016/j.mpaic.2023.03.012_bib4 article-title: Pituitary disease and anaesthesia publication-title: Anaesth Intensive Care Med doi: 10.1016/j.mpaic.2020.03.003 contributor: fullname: Appleby – volume: 26 start-page: 549 year: 2013 ident: 10.1016/j.mpaic.2023.03.012_bib2 article-title: Anesthesia for transsphenoidal pituitary surgery publication-title: Curr Opin Anaesthesiol doi: 10.1097/01.aco.0000432521.01339.ab contributor: fullname: Dunn – volume: 11 start-page: 133 year: 2011 ident: 10.1016/j.mpaic.2023.03.012_bib5 article-title: Anaesthesia and pituitary disease publication-title: Contin Educ Anaesth Crit Care Pain doi: 10.1093/bjaceaccp/mkr014 contributor: fullname: Menon – volume: 37 start-page: 608 year: 2022 ident: 10.1016/j.mpaic.2023.03.012_bib1 article-title: Advances in pituitary surgery publication-title: Endocrinol Metab doi: 10.3803/EnM.2022.1546 contributor: fullname: Byun |
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