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Episode 257: Transsphenoidal Pituitary Surgery with Dr. Cara Esser

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

CHAPTER

The Effects of Intravenous and Volatile Anesthesia on Quality of Recovery

Both intravenous and volatile agents can be used as anesthetic maintenance in this type of procedure because of the quick end to the procedure. Controlled hypotension should be avoided in patients with coronary artery disease or advanced cardiac disease, chronic kidney, and liver disease who have a history of cerebral vascular disease. No study has been conclusive in finding a superiority in one anesthetic technique compared to another. So I'll do it differently for different cases, depending if I have a very young patient, I'll do an infusion. And then if it's just an older patient, I will commonly just do a bolus near the end.

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