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CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2016; 03(03): 211-218
DOI: 10.4103/2348-0548.190066
Review Article
Thieme Medical and Scientific Publishers Private Ltd.

Perioperative management of patients with pituitary tumours

Mary Abraham
1   Department of Anaesthesia and Pain Medicine, Fortis Hospital, Noida, Uttar Pradesh, India
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Publication History

Publication Date:
05 May 2018 (online)

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Abstract

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.

Keywords

Anaesthesia - complications - pituitary tumours
 

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