Anaes Vivas · Neuroanaesthesia
Pituitary transsphenoidal — viva
Structured oral examination station for pituitary-transsphenoidal.
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Study tools
Target exams
ANZCAFRCAEDAICABAFCAI
Prompt
Acromegaly, large tongue, BMI 38, random cortisol low-normal on replacement history unclear; urine output 500 mL/h postop hour 6 with Na 149.
Opening
Difficult airway plus possible cortisol deficiency plus evolving DI — name the hormone map before induction: acromegaly airway, ACTH-axis reliability, and the postoperative sodium watch.[1]
References4ShowHide
- [1]Dunn LK, Nemergut EC Anesthesia for transsphenoidal pituitary surgery. Current Opinion in Anaesthesiology, 2013.PMID 23963232
- [2]Goettel N et al. Dexmedetomidine vs propofol-remifentanil conscious sedation for awake craniotomy: RCT. British Journal of Anaesthesia, 2016.PMID 27099154
- [3]Frerk C et al. DAS 2015 guidelines for management of unanticipated difficult intubation in adults. British Journal of Anaesthesia, 2015.PMID 26556848
- [4]Fountas A et al. Central diabetes insipidus (vasopressin deficiency) after surgery for pituitary tumours: a systematic review and meta-analysis. Eur J Endocrinol, 2024.PMID 38996052