垂体手术的麻醉。

Anesthesia for Pituitary Surgery.

机构信息

Department of Anesthesia, Albert Einstein College of Medicine, 111 East 210 Street, Bronx, NY 10467, USA.

Department of Anesthesia, Montefiore Medical Center, 111 East 210 Street, Bronx, NY 10467, USA.

出版信息

Otolaryngol Clin North Am. 2022 Apr;55(2):421-430. doi: 10.1016/j.otc.2022.01.003.

DOI:10.1016/j.otc.2022.01.003

PMID:35365315

Abstract

Anesthesia for pituitary surgery is tailored to each individual patient and the type of tumor they have. Anesthetic considerations include difficult airways, hormonal and electrolyte abnormalities, cardiac abnormalities, the potential for catastrophic hemorrhage, and the importance of a smooth extubation. The anesthesiologist is able to assist the surgeons by keeping the patient motionless and lowering the blood pressure to minimize surgical bleeding. Postoperative nausea and vomiting are also of greater importance than usual, as the Valsalva movements associated with retching could cause bleeding and disruption of the surgical site.

摘要

垂体手术的麻醉是根据每个患者和他们所患肿瘤的类型量身定制的。麻醉考虑因素包括气道困难、激素和电解质异常、心脏异常、灾难性出血的可能性，以及平稳拔管的重要性。麻醉师能够通过使患者保持不动和降低血压来协助外科医生，以最大程度地减少手术出血。术后恶心和呕吐也比平时更为重要，因为与呕吐相关的瓦尔萨尔瓦动作可能导致出血和手术部位的破坏。