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REVIEW ARTICLE
Year : 2016  |  Volume : 3  |  Issue : 3  |  Page : 211-218

Perioperative management of patients with pituitary tumours


Department of Anaesthesia and Pain Medicine, Fortis Hospital, Noida, Uttar Pradesh, India

Correspondence Address:
Mary Abraham
C 39 D, Gangotri Enclave Alaknanda, New Delhi - 110 019
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2348-0548.190066

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Management of pituitary tumours can be very challenging for the anaesthesiologist. These patients require a thorough pre-operative assessment in view of underlying endocrine disturbances, which could cause anatomic and physiological disturbances. This needs to be optimized prior to surgery and the anaesthetic technique planned accordingly. The main intraoperative problems that could be encountered by the anaesthesiologist are airway problems, haemodynamic disturbances and potential for bleeding during surgery. The postoperative concerns are related to the endocrine system and fluid and water balance and this needs to be monitored closely and managed appropriately. The advent of minimally invasive surgery along with neuroimaging has considerably decreased perioperative morbidity and mortality following pituitary surgery. A team approach and close coordination between the endocrinologist, neurosurgeon and anaesthesiologist is imperative for a favourable outcome in patients undergoing pituitary surgery.


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