[Trans-sphenoidal pituitary resections. Various problems in anesthesia and resuscitation. Study in 1,193 cases...

In the present study based on 1,193 cases of trans-sphenoidal pituitary resections, the various problems involved in anaesthesia and pre and post-operative care are discussed. The anaesthetic complications are few and should be avoided through adequate preparation and supervision. The procedure is a short one (75 +/- 16 minutes) and blood loss minimal. The patients are usually young (42 +/- 4 years old), in good condition (90% were in ASA group I or II). The pre and post-operative management must follow some well defined principles, based on hormonal substitution and diagnosis and early treatment of a possible diabetes insipidus.