4.7 • 1.5K Ratings
🗓️ 19 June 2023
⏱️ 30 minutes
🧾️ Download transcript
In this 257th episode I welcome Dr. Cara Esser back to the show to discuss the ins and outs of transsphenoidal pituitary surgery and what to keep in mind preoperatively, intraoperatively and postoperatively.
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0:26.6 | to take your business to the next level today. |
0:43.5 | Hello and welcome back to AckRack. I'm Jed Wolplot and I have back with me. |
0:48.7 | They won an only Dr. Kara Esser who was recently on the show for her first time and now is back |
0:54.4 | because she did such a great job. She's backed by popular demand to do another episode and we're |
0:59.2 | going to do another Neuroanesthesia episode because that's her area of expertise. We're going to talk |
1:02.8 | about Anesthesia for Transphenoidal Potuitary Resection. So, Kara, welcome back to the show. |
1:07.8 | Thanks so much, Shudden. I'm so happy that I'm able to come back again. |
1:11.2 | Tell us, we heard last time about you and you're interested in Neuroanesthesia. Let's jump right |
1:15.9 | into the topic. What is Transphenoidal Potuitary Surgery? Okay, great. Yeah. I'm definitely |
1:22.1 | excited to talk about this endoscopic endonaisal Potuitary Surgery that we commonly see here at |
1:27.9 | Hopkins. We're going to talk about preoperative, interoperative, and postoperative concerns. |
1:33.2 | So, this type of procedure has really evolved over the past couple of decades, has become less |
1:38.4 | stressful and less invasive compared to previous approaches. Excuse me. Do the diversity of lesions |
1:44.9 | that can affect the Potuitary and the skull-based region, perioperative care should be tailored to |
1:49.4 | each individual patient. You want to look at their medical history, the lesion characteristics, |
1:54.4 | functional status, and endocrine function. So, as many as seven, one in seven people have a |
1:59.1 | Potuitary tumor. However, only one in one thousand are clinically symptomatic from that tumor. |
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