Epidural Anesthesia for Caesarean Section in a Pregnant Patient with Pituitary Macroadenoma
Published: July 1, 2014 | DOI: https://doi.org/10.7860/JCDR/2014/.4552
Remadevi R., D. Dinesh Bab u, K. Sureshkumar , Shubhada A. Patil
1. Assistant Professor, Department of Anaesthesiology, Sri Manakula Vinayagar Medical College and Hospital, Pondicherry, India.
2. Assistant Professor, Department of Anaesthesiology, Sri Manakula Vinayagar Medical College and Hospital, Pondicherry, India.
3. Associate Professor, Department of Anaesthesiology, Sri Manakula Vinayagar Medical College and Hospital, Pondicherry, India.
4. Associate Professor, Department of Anaesthesiology, Sri Manakula Vinayagar Medical College and Hospital, Pondicherry, India.
Correspondence
Dr. Remadevi R,
Type-V-A-13, JIPMER Campus, Dhanvantri Nagar, Pondicherry-605006, India.
Phone: 919894243375, E-mail: remadevi70@gmail.com
Anaesthesia for patient with pituitary adenoma posted for non-neurosurgical surgeries is a challenge to the anaesthesiologist with the risk of sudden change in intracranial dynamics during administration of spinal anaesthesia or during stress response of general anaesthesia. There is a chance of increase in tumour size during antenatal period. A careful assessment of pituitary function and a screening of visual field and fundus examination are essential to rule out any mass effect. We are presenting the anaesthetic management of patient with pituitary macroadenoma posted for elective caesarean section done under epidural anaesthesia due to its rarity.
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