Abstract
The clinical course and diagnosis of a patient with Cushing's disease complicated by pregnancy is described, and the anaesthetic management of trans-sphenoidal selective adenomectomy performed during the second trimester outlined. Problems included obesity, diabetes, hypertension and a suboptimal airway. Fibreoptic awake intubation and intravenous anaesthesia were used. Insulin requirements decreased substantially after surgery. Early administration of hydrocortisone after surgery avoided the risk of an addisonian crisis but delayed biochemical confirmation of a metabolic cure.
| Original language | English |
|---|---|
| Pages (from-to) | 850-852 |
| Number of pages | 3 |
| Journal | British Journal of Anaesthesia |
| Volume | 80 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 1998 |
UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine
Keywords
- Anaesthesia general
- Cushing's syndrome
- Hypophysectomy
- Pituitary neoplasms
- Pregnancy
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