Özet:

Purpose: Pythyatric surgical adenoma is an attempt that requires intensive care for an anesthetic doctor due to the different morbidities. The purpose of this study is to evaluate the complications arising during transfenoidal surgery from the anesthetic doctor’s point of view. Method: from 1 January 2002 to 1 January 2006 82 patients with transphenoidal hypofysic surgery and ASA score I-II were taken to retrospective study. For each patient; demographic characteristics, airline supply, surgery time, cardiovascular and electrocardiographic abnormalities, pathological diagnosis and complications occurring during the perioperative period were recorded. Results: In 4 patients following anesthesia induction, severe bradicardi and whey QRS complex accompanied ventricular premature scores were observed that did not respond to medical treatment. Three patients suffered a problem during the entubation. In 12 patients, a hypertensive response was observed after submucosal injection. In the early postoperative period, 2 patients (2.4%) had temporary diabetes insipid. None of the patients had no rinorrhea or nasal bleeding. In this context, 21 patients (25.6%) had complications during the perioperative period. Result: Anesthesians should take into account the possibility of having difficult entubation, vasoconstrictor-added local anesthesia with a hypertensive response associated with submucosal injection and anesthesia induction after subclinical cardiovascular pathologies will be given clinical findings.

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