A patient with Cushing's disease for pituitary tumor resection: Anesthetic challenges and management

Abstract

Adrenocorticotrophic hormone-secreting pituitary adenoma is though quite rare yet carries significant mortality and morbidity due to severe comorbidities associated with them. Transsphenoidal resection of pituitary adenoma is the treatment of choice. While managing these patients, anesthesiologists face hosts of challenges since there are significant alterations in pathophysiology of the body. A thorough understanding of preoperative assessment, intraoperative management, and potential complications is fundamental for successful perioperative outcome. We report a case of Cushing's disease who underwent pituitary tumor resection and discuss the difficulties encountered and their management.