title: Anaesthesia for transsphenoidal surgery in a patient with extreme gigantism.
abstract: The management of anaesthesia for transsphenoidal removal of a pituitary adenoma in a true pituitary giant with acromegaly is described. Problems which may be anticipated in such a patient and an approach to their management are discussed, with particular emphasis upon the need for thorough preoperative assessment of the upper airway and the provision of adequate pulmonary ventilation during anaesthesia.
authors: Department of Anaesthesia, University of Toronto, Canada.
authors: V W
authors: VW
authors: Chan
authors: S
authors: S
authors: Tindal
mesh_terms: D000172:Acromegaly / Q000601:surgery; D000236:Adenoma / Q000601:surgery*; D000328:Adult; D000768:Anesthesia, General; D005260:Female; D005877:Gigantism / Q000601:surgery*; D006801:Humans; D010100:Oxygen / Q000008:administration & dosage; D010911:Pituitary Neoplasms / Q000601:surgery*
chemical_list: D010100:Oxygen