title: Anesthetic management of patients undergoing pituitary surgery.
abstract: Pituitary tumors account for more than 10% of all intracranial tumors. They often present with symptoms of hormonal hypersecretion, although they may also cause hypopituitarism. Transsphenoidal pituitary surgery has become a commonly performed neurosurgical procedure, which has certain challenges for the anesthesiologist due to many distinct comorbidities associated with various adenomas. This article provides a review of perioperative concerns regarding transsphenoidal pituitary surgery, encountered in a number of these patients. Thorough understanding of preoperative assessment, intraoperative management and potential complications is fundamental for successful perioperative patient care and avoidance of morbidity and mortality.
authors.affiliation: University Department of Anesthesiology and Intensive Care, Sestre milosrdnice University Hospital Center, Zagreb, Croatia. ana.horvatl4@zg.t-com.hr
authors.forename: Ana
authors.initials: A
authors.lastname: Horvat
authors.forename: Juranko
authors.initials: J
authors.lastname: Kolak
authors.forename: Aleksandar
authors.initials: A
authors.lastname: Gopcević
authors.forename: Mirjana
authors.initials: M
authors.lastname: Ilej
authors.forename: Gnjidić
authors.initials: G
authors.lastname: Zivko
mesh_terms: D000758:Anesthesia / Q000379:methods*; D006801:Humans; D007431:Intraoperative Complications; D016343:Monitoring, Intraoperative; D010911:Pituitary Neoplasms / Q000601:surgery*; D011182:Postoperative Care