Keywords:
Anesthesia
pituitary
complication
management

  • Abstract

    This is a comprehensive review article on the management of anesthesia during pituitary surgery, from pre-operative assessment and intraoperative management to anesthetic techniques and post-operative care. We consider the special concerns in the presence of pituitary apoplexy and hormonal imbalance with possible complications and stress multidisciplinary collaboration with individual treatment of each patient. We have compiled this review to enlighten and instruct anesthesiologists and neurosurgeons in order to deliver optimum service to patients undergoing pituitary surgery. These pituitary tumors often mandate surgical intervention and anesthetic management is quite tricky because of hormonal imbalances, visual disturbances, and medical comorbidities. Chances for surgical approaches are either transsphenoidally, transcranially, or endoscopically; each technique has its own anesthetic challenge. A clear understanding of the status of hormones, visual functions, and associated comorbidities is therefore very necessary for optimal anesthetic care. The following review will outline some important considerations, techniques, and complications related to anesthesia management during pituitary surgery. We present some important issues relevant to the preoperative assessment, intraoperative management, anesthetic technique, and postoperative care, with special considerations for pituitary apoplexy and hormonal imbalance, usually seen in these patients.  With good individual care and close monitoring by anesthesiologists and neurosurgeons, the best possible outcome will be achieved for this complex surgical population with minimal risk of inappropriate complications. Further work is needed to define these anesthetic techniques and improve the care of this complex surgical population.

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Punekar, S., Banmare, A., & Doelakeh, E. S. (2024). Pituitary surgery and anesthesia consideration: A review. Multidisciplinary Reviews, (| Accepted Articles). Retrieved from https://malque.pub/ojs/index.php/mr/article/view/5844
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