Perioperative anesthesia management of infants undergoing endoscopic endonasal resection of craniopharyngioma
10.3760/cma.j.cn131073-20240803-00408
- VernacularTitle:幼儿神经内镜经鼻颅咽管瘤切除术的围术期麻醉管理
- Author:
Liu YANG
1
;
Xiaoxiao ZHANG
1
;
Bei WU
1
;
Ruquan HAN
1
Author Information
1. 首都医科大学附属北京天坛医院麻醉科，北京 100070
- Publication Type:Journal Article
- Keywords:
Craniopharyngioma;
Perioperative period;
Anesthesia management;
Young children
- From:
Chinese Journal of Anesthesiology
2025;45(4):429-432
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the key points of perioperative anesthesia management of infants undergoing endoscopic endonasal resection of craniopharyngioma.Methods:The medical records of infants, aged 1-3 yr, undergoing endoscopic endonasal resection of craniopharyngioma at Beijing Tiantan Hospital affiliated to Capital Medical University from January 1, 2023 to December 31, 2023, were retrospectively analyzed. The demographic and perioperative information was collected.Results:Six pediatric patients were included, with 5 males and 1 female, with height of (103±6) cm and weight of (16±3) kg. Five cases had abnormal anterior pituitary hormones before surgery. All the children with abnormal hormone levels were given hormone supplementation during surgery, except for those with elevated free thyroxine. None of the 6 children showed significant electrolyte abnormalities or diabetes insipidus. Five children received blood transfusion treatment, with an allogeneic red blood cell volume of (114±79) ml. Among them, 4 children received allogeneic plasma transfusion, with a volume of (75±69) ml. All the 6 pediatric patients were conscious with tracheal tubes removed after surgery. Three pediatric patients had hyponatremia, and 2 pediatric patients still had hypothyroidism. All the pediatric patients did not experience postoperative diabetes insipidus, cerebrospinal fluid rhinorrhea or epileptic seizures.Conclusions:Adequate preoperative assessments should be conducted, and detection of anterior pituitary hormone levels should be improved, with hormone replacement therapy administered when necessary in the perioperative anesthesia management for endoscopic endonasal resection of craniopharyngioma in infants. Vital signs should be closely monitored, and prompt treatment should be administered when diabetes insipidus and electrolyte disorders are found during surgery. Attention should be given to airway management to avoid airway spasms after surgery.
