Anesthesia and Intensive care implications for pituitary surgery: Recent trends and advancements

The advancements in neuro-endocrine surgical interventions have been well supported by similar advancements in anesthesiology and intensive care. Surgery of the pituitary tumor poses unique challenges to the anesthesiologists and the intensivists as it involves the principles and practices of both e...

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Main Authors: Sukhminder Jit Singh Bajwa, Sukhwinder Kaur Bajwa
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-01-01
Series:Indian Journal of Endocrinology and Metabolism
Subjects:
Online Access:http://www.ijem.in/article.asp?issn=2230-8210;year=2011;volume=15;issue=7;spage=224;epage=232;aulast=Bajwa
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author Sukhminder Jit Singh Bajwa
Sukhwinder Kaur Bajwa
author_facet Sukhminder Jit Singh Bajwa
Sukhwinder Kaur Bajwa
author_sort Sukhminder Jit Singh Bajwa
collection DOAJ
description The advancements in neuro-endocrine surgical interventions have been well supported by similar advancements in anesthesiology and intensive care. Surgery of the pituitary tumor poses unique challenges to the anesthesiologists and the intensivists as it involves the principles and practices of both endocrine and neurosurgical management. A multidisciplinary approach involving the endocrine surgeon, neurosurgeon, anesthesiologist, endocrinologist and intensivist is mandatory for a successful surgical outcome. The focus of pre-anesthetic checkup is mainly directed at the endocrinological manifestations of pituitary hypo or hyper-secretion as it secretes a variety of essential hormones, and also any pathological state that can cause imbalance of pituitary secretions. The pathophysiological aspects associated with pituitary tumors mandate a thorough airway, cardiovascular, neurologic and endocrinological assessment. A meticulous preoperative preparation and definite plans for the intra-operative period are the important clinical components of the anesthetic strategy. Various anesthetic modalities and drugs can be useful to provide a smooth intra-operative period by countering any complication and thus providing an uneventful recovery period.
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spelling doaj.art-15d3de875fac476fa620c1e125565eb22022-12-21T18:26:38ZengWolters Kluwer Medknow PublicationsIndian Journal of Endocrinology and Metabolism2230-82102230-95002011-01-0115722423210.4103/2230-8210.84872Anesthesia and Intensive care implications for pituitary surgery: Recent trends and advancementsSukhminder Jit Singh BajwaSukhwinder Kaur BajwaThe advancements in neuro-endocrine surgical interventions have been well supported by similar advancements in anesthesiology and intensive care. Surgery of the pituitary tumor poses unique challenges to the anesthesiologists and the intensivists as it involves the principles and practices of both endocrine and neurosurgical management. A multidisciplinary approach involving the endocrine surgeon, neurosurgeon, anesthesiologist, endocrinologist and intensivist is mandatory for a successful surgical outcome. The focus of pre-anesthetic checkup is mainly directed at the endocrinological manifestations of pituitary hypo or hyper-secretion as it secretes a variety of essential hormones, and also any pathological state that can cause imbalance of pituitary secretions. The pathophysiological aspects associated with pituitary tumors mandate a thorough airway, cardiovascular, neurologic and endocrinological assessment. A meticulous preoperative preparation and definite plans for the intra-operative period are the important clinical components of the anesthetic strategy. Various anesthetic modalities and drugs can be useful to provide a smooth intra-operative period by countering any complication and thus providing an uneventful recovery period.http://www.ijem.in/article.asp?issn=2230-8210;year=2011;volume=15;issue=7;spage=224;epage=232;aulast=BajwaAcromegalyCushing′s diseasepituitary adenomatransphenoidal approach
spellingShingle Sukhminder Jit Singh Bajwa
Sukhwinder Kaur Bajwa
Anesthesia and Intensive care implications for pituitary surgery: Recent trends and advancements
Indian Journal of Endocrinology and Metabolism
Acromegaly
Cushing′s disease
pituitary adenoma
transphenoidal approach
title Anesthesia and Intensive care implications for pituitary surgery: Recent trends and advancements
title_full Anesthesia and Intensive care implications for pituitary surgery: Recent trends and advancements
title_fullStr Anesthesia and Intensive care implications for pituitary surgery: Recent trends and advancements
title_full_unstemmed Anesthesia and Intensive care implications for pituitary surgery: Recent trends and advancements
title_short Anesthesia and Intensive care implications for pituitary surgery: Recent trends and advancements
title_sort anesthesia and intensive care implications for pituitary surgery recent trends and advancements
topic Acromegaly
Cushing′s disease
pituitary adenoma
transphenoidal approach
url http://www.ijem.in/article.asp?issn=2230-8210;year=2011;volume=15;issue=7;spage=224;epage=232;aulast=Bajwa
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