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Perioperative management of endoscopic transsphenoidal pituitary surgery

World Journal of Otorhinolaryngology-Head and Neck Surgery 2020年第2期6卷 84-93页

作者： Martin Hanson Hao Li Eliza Geer Sasan Karimi viviane tabar.marc a.cohen Multidisciplinary Pituitary and Skull Base Tumour Program Memorial Sloan Kettering Cancer Center1275 York AveNew YorkNYUSA

The contemporary embrace of endoscopic technology in the approach to the anterior skull base has altered the perioperative landscape for patients requiring pituitary *** of a multi-disciplinary unit in management decisions facilitates the delivery of optimal *** of technology and surgical expertise in pituitary surgery mandates ongoing review of all components of the care central to these *** many areas of potential variability in the pre,intra and post-operative timeline of pituitary surgery are readily *** undertakings and contemporary controversies in the peri-operative management of patients undergoing endoscopic transsphenoidal pituitary surgery are assessed against the available literature with a view to providing guidance for the best evidence-based practice.

关键词： Pituitary Pituitary surgery Endoscopic skull base surgery Perioperative management

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Integration of an enhanced recovery after surgery program for patients undergoing pituitary surgery

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2022年第4期8卷 330-338页

作者： Stephanie Flukes llya Laufer Jennifer Cracchiolo Eliza Geer Andrew L.Lin Jess Brallier Van Tsui Anoushka Afonso viviane tabar.marc a.cohen Head and Neck Service Department of SurgeryMemorial Sloan Kettering Cancer CenterNew YorkNYUSA Department of Neurosurgery Memorial Sloan Kettering Cancer CenterNew YorkNYUSA Multidisciplinary Pituitary and Skull Base Tumor Center Memorial Sloan Kettering Cancer CenterNew YorkNYUSA Department of Medicine Memorial Sloan Kettering Cancer CenterNew YorkNYUSA Department of Anesthesiology and Critical Care Medicine Memorial Sloan Kettering Cancer CenterNew YorkNYUSA

Evidence-based enhanced recovery after surgery(ERAS)programs aim to improve patient outcomes and shorten hospital *** objective of this study is to describe the development,implementation,and evolution of an ERAS protocol to optimize the perioperative management for patients undergoing endoscopic skull base surgery for pituitary tumors.A systematic review of the literature was performed,best practices were discussed with stakeholders,and institutional guidelines were established and *** performance indicators(KPI)were measured and patient-reported outcome surveys were *** ERAS protocol was introduced successfully at our *** describe the process of initiation of the program and the perioperative management of our *** demonstrated the feasibility of integration of ERAS protocols for pituitary tumors with multidisciplinary engagement,with a particular emphasis on the use of data informatics and metrics to monitor *** expect that this approach will translate to improved quality of care for these often-complex patients.

关键词： Enhanced recovery after surgery Endoscopic skull base surgery Pituitary surgery Outcomes improvement

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