Anaesthetic challenges in a patient with acromegaly and multinodular goitre undergoing endoscopic pituitary surgery.

in BMJ case reports by Jabraan Jamil, Wan Mohd Nazarudin Wan Hassan, Ab Rahman Ghani, Tat Boon Yeap

TLDR

  • The study is about a man who has a rare condition called acromegaly. He has a tumor in his pituitary gland that makes him grow bigger. He also has a big goitre (a swollen thyroid gland). The study is about how to safely give him anesthesia (medication to make him sleep during surgery) during a procedure to remove the tumor from his pituitary gland. The study highlights the importance of careful planning and monitoring during surgery to minimize the risk of complications.

Abstract

Acromegaly is a progressive systemic disorder which is common among middle-aged women. A functioning growth hormone-secreting pituitary adenoma is the most common cause. Anaesthesia for pituitary surgery in patients with acromegaly is challenging. Rarely, these patients may develop thyroid lesions that may compromise the airway. We present the case of a young man with newly diagnosed acromegaly caused by a pituitary macroadenoma complicated by a large multinodular goitre. The aim of this report is to discuss the perianaesthetic approach in patients with acromegaly with a high risk of airway compromise undergoing pituitary surgery.

Overview

  • The study focuses on the perianaesthetic approach in patients with acromegaly undergoing pituitary surgery, specifically those with a high risk of airway compromise due to a large multinodular goitre.

Comparative Analysis & Findings

  • The study presents a case of a young man with newly diagnosed acromegaly caused by a pituitary macroadenoma complicated by a large multinodular goitre. The perianaesthetic approach in this patient was challenging due to the risk of airway compromise.

Implications and Future Directions

  • The study highlights the importance of careful preoperative planning and monitoring in patients with acromegaly undergoing pituitary surgery, particularly those with a high risk of airway compromise. Future research should focus on developing more effective perianaesthetic strategies and interventions to minimize the risk of airway compromise and improve outcomes in these patients.
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