Abstract
Patients with pituitary adenomas exhibit excessive anterior pituitary hormone release and/or local mass effects on adjacent structures due to expanding intrasellar mass. Anesthesiologists should pay special attention to patients with Cushing’s disease or acromegaly. The symptoms induced by hormone excess and/or local mass effect should be assessed preoperatively.
Airway management is likely to be difficult in patients with acromegaly. Hypertensive responses are often encountered during pretreatment with local anesthetics and vasoconstrictor administration to mucosal surfaces when the transsphenoidal approach is taken. Steroid cover is essential in patients with panhypopituitarism or Cushing’s disease. Postoperative care should focus particularly on neuroendocrine abnormalities (including diabetes insipidus), visual loss, cerebrospinal fluid leakage, and risk of meningitis.
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Iida, H. (2015). Anesthesia for Pituitary Surgery. In: Uchino, H., Ushijima, K., Ikeda, Y. (eds) Neuroanesthesia and Cerebrospinal Protection. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54490-6_38
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DOI: https://doi.org/10.1007/978-4-431-54490-6_38
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-54489-0
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