Anaesthetic Management in a Patient with Pituitary Macroadenoma: A Case Report

Pituitary tumours are the second most common intracranial tumours. The anaesthetic management of pituitary tumours requires an in-depth understanding of the principles of neuroanaesthesia and pituitary disorders. Immaculate preanaesthetic evaluation, intraoperative management and postoperative care...

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Main Authors: Shyamolima Bhuyan, Deepjit Bhuyn
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2024-12-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/20365/75333_CE[Ra1]_F(SL)_QC(PS_IS)_PF1(AG_SS)_PFA_NC(KM)_PN(IS).pdf
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author Shyamolima Bhuyan
Deepjit Bhuyn
author_facet Shyamolima Bhuyan
Deepjit Bhuyn
author_sort Shyamolima Bhuyan
collection DOAJ
description Pituitary tumours are the second most common intracranial tumours. The anaesthetic management of pituitary tumours requires an in-depth understanding of the principles of neuroanaesthesia and pituitary disorders. Immaculate preanaesthetic evaluation, intraoperative management and postoperative care with interdisciplinary teamwork are essential for successful outcomes in surgeries for pituitary tumours. This case report discusses a 34-year-old female patient presenting for the management of a pituitary macroadenoma, illustrating the anaesthetic challenges faced in such cases. The presence of acromegaly, along with co-morbidities such as hypertension, necessitated a detailed anaesthetic management plan. The patient underwent thorough preanaesthetic evaluation and had a transnasal trans-sphenoidal tumour excision under general anaesthesia, following standard protocols for difficult airway management. The patient was intubated using a video laryngoscope and invasive blood pressure and central venous pressure monitoring were conducted. Following surgery, the patient was transferred to the neurosurgery intensive care unit and was subsequently discharged on the 10th postoperative day.
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spelling doaj-art-c2c3b599e7c0458da63aea17365100382025-08-20T02:39:25ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2024-12-011812010410.7860/JCDR/2024/75333.20365Anaesthetic Management in a Patient with Pituitary Macroadenoma: A Case ReportShyamolima Bhuyan0Deepjit Bhuyn1Junior Resident, Department of Anaesthesia, Jawaharlal Nehru Medical College, Dattta Meghe Institute of Higher Education and Research, Sawangi (Meghe), Wardha, Maharashtra, India.Consultant, Department of Anaesthesia, Pratiksha Hospital, Guwahati, Assam, India.Pituitary tumours are the second most common intracranial tumours. The anaesthetic management of pituitary tumours requires an in-depth understanding of the principles of neuroanaesthesia and pituitary disorders. Immaculate preanaesthetic evaluation, intraoperative management and postoperative care with interdisciplinary teamwork are essential for successful outcomes in surgeries for pituitary tumours. This case report discusses a 34-year-old female patient presenting for the management of a pituitary macroadenoma, illustrating the anaesthetic challenges faced in such cases. The presence of acromegaly, along with co-morbidities such as hypertension, necessitated a detailed anaesthetic management plan. The patient underwent thorough preanaesthetic evaluation and had a transnasal trans-sphenoidal tumour excision under general anaesthesia, following standard protocols for difficult airway management. The patient was intubated using a video laryngoscope and invasive blood pressure and central venous pressure monitoring were conducted. Following surgery, the patient was transferred to the neurosurgery intensive care unit and was subsequently discharged on the 10th postoperative day.https://www.jcdr.net/articles/PDF/20365/75333_CE[Ra1]_F(SL)_QC(PS_IS)_PF1(AG_SS)_PFA_NC(KM)_PN(IS).pdfacromegalyadenomageneral anaesthesiapituitary neoplasm
spellingShingle Shyamolima Bhuyan
Deepjit Bhuyn
Anaesthetic Management in a Patient with Pituitary Macroadenoma: A Case Report
Journal of Clinical and Diagnostic Research
acromegaly
adenoma
general anaesthesia
pituitary neoplasm
title Anaesthetic Management in a Patient with Pituitary Macroadenoma: A Case Report
title_full Anaesthetic Management in a Patient with Pituitary Macroadenoma: A Case Report
title_fullStr Anaesthetic Management in a Patient with Pituitary Macroadenoma: A Case Report
title_full_unstemmed Anaesthetic Management in a Patient with Pituitary Macroadenoma: A Case Report
title_short Anaesthetic Management in a Patient with Pituitary Macroadenoma: A Case Report
title_sort anaesthetic management in a patient with pituitary macroadenoma a case report
topic acromegaly
adenoma
general anaesthesia
pituitary neoplasm
url https://www.jcdr.net/articles/PDF/20365/75333_CE[Ra1]_F(SL)_QC(PS_IS)_PF1(AG_SS)_PFA_NC(KM)_PN(IS).pdf
work_keys_str_mv AT shyamolimabhuyan anaestheticmanagementinapatientwithpituitarymacroadenomaacasereport
AT deepjitbhuyn anaestheticmanagementinapatientwithpituitarymacroadenomaacasereport