bandage-green

Transsphenoidal Pituitary Resection

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked, head slightly extended, Bed turned 90 degrees
Time : 2-4 hours (long)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Intubating dose only; the head is fixed and nothing further is needed once the scope is in the nose.
Considerations : Arterial line, Mayfield Pins, PONV, Throat Pack

Anesthetic Approaches

1GETT, Remifentanil Drip
2Oral Rae, TIVA, Propofol Drip, Remifentanil Drip
The Surgery

Positioning and navigation - supine with the head elevated 20 to 30 degrees and held still, image guidance registered, and the bed rotated so the surgeon and the endoscope tower own the head. Nasal...

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