Start Date

5-27-2021 9:00 AM

End Date

5-27-2021 5:00 PM

Description

Adrenal insufficiency after transsphenoidal resection of pituitary adenoma (PA) can be seen in 1-12% of cases. In PA, the use of postoperative cortisol measurement and supplementation remains controversial. It is unclear whether postoperative cortisol supplementation has a measurable effect on improving outcomes in patients with pituitary adenoma undergoing endoscopic transsphenoidal surgery (ETS). The objective of the study was to evaluate a postoperative steroid treatment protocol in patients with PA undergoing ETS.

Keywords

pituitary adenoma, postoperative steroids, endonasal, protocol

Comments

Presented at the 2021 House Staff Quality Improvement and Patient Safety Conference

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May 27th, 9:00 AM May 27th, 5:00 PM

Perioperative outcomes of a hydrocortisone protocol after endonasal surgery for pituitary adenoma resection

Adrenal insufficiency after transsphenoidal resection of pituitary adenoma (PA) can be seen in 1-12% of cases. In PA, the use of postoperative cortisol measurement and supplementation remains controversial. It is unclear whether postoperative cortisol supplementation has a measurable effect on improving outcomes in patients with pituitary adenoma undergoing endoscopic transsphenoidal surgery (ETS). The objective of the study was to evaluate a postoperative steroid treatment protocol in patients with PA undergoing ETS.