Language
English
Publication Date
4-1-2025
Journal
Cureus
DOI
10.7759/cureus.82447
PMID
40385738
PMCID
PMC12085152
PubMedCentral® Posted Date
4-17-2025
PubMedCentral® Full Text Version
Post-print
Abstract
Acromegaly can result in many physiological changes that create multiple challenges for the anesthesiologist. Excess growth hormone secretion can result in altered facies, airway obstruction, ventilation challenges, and intubation difficulties. Moreover, hormonal changes can cause electrolyte imbalances, poor glycemic regulation, and hypertension. In addition, radial arterial invasive blood pressure monitoring can be relatively contraindicated given poor ulnar collateral circulation. In this case report, we discuss an acromegalic patient with severe facial, cardiovascular, and respiratory changes who successfully underwent transsphenoidal pituitary gland resection under general anesthesia. We describe our anesthetic approach toward caring for a patient with acromegaly.
Keywords
academic anesthesiology, acromegaly and diabetes, acromegaly and surgery, acromegaly comorbidities, anesthesia and neuro, neuro anesthesia, transsphenoidal neurosurgery
Published Open-Access
yes
Recommended Citation
Kennedy P Kirkpatrick and Anvinh Nguyen, "Anesthetic Considerations for the Transsphenoidal Resection of a Pituitary Tumor in an Acromegalic Patient: A Case Report" (2025). Faculty and Staff Publications. 3826.
https://digitalcommons.library.tmc.edu/baylor_docs/3826