Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Consenting adult patients undergoing surgery for pituitary tumours at Sree Chitra Tirunal Institute for Medical Sciences and Technology 2.ASA (American Society of Anaesthesiologists) class 1,2 and 3 3.GCS 15/15 prior to the surgery
Exclusion criteria
Exclusion criteria: 1.Patient refusal 2.Age less than 18 years, more than 60 years 3.Emergency surgery 4.Patients with Cushing disease, previous history of adrenal insufficiency 5.ASA class 4,5 patients 6.Patients needing steroid supplementation due to other diseases 7.Pregnant and lactating mothers
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the correlation between perioperative cortisol levels and hemodynamic variables in patients on steroid therapy undergoing pituitary surgeriesTimepoint: Serum cortisol level will be measured Baseline day before surgery 7:30 am on the day of surgery after induction after sphenoid drilling during hypotensive episode | — |
Secondary
| Measure | Time frame |
|---|---|
| To find the influence of serum cortisol level & steroid therapy, on hemodynamic variables (including episodes of unexplained hypotension, maximum fall in MAP & hypertension) & the incidence of dyselectrolytemias in patients undergoing pituitary surgeries for tumour resectionTimepoint: Hemodynamic variables will be recorded in 10 minute intervals during intraoperative period. Electrolyte & serum lactate level will be measured after induction and at the end of surgery | — |
Countries
India
Contacts
Sree Chitra Tirunal Institute for Medical Sciences and Technology