Pituitary tumor resection in a patient with SARS-CoV-2 (COVID-19) infection. A case report and suggested airway management guidelines: Influence Statistics

Expert Impact

Concepts for which they have has direct influence: Patient covid19 , Pituitary gland , Pituitary tumor , Cov2 covid19 , Acute respiratory , Visual loss , Pituitary apoplexy .

Key People For Patient Covid19

Top KOLs in the world
#1
Ting Yu
wuhan china 99 cases hospital survivors
#2
Bin Cao
mycoplasma pneumoniae influenza virus acquired pneumonia
#3
Jiuyang Xu
viral sepsis clinical isolates influenza virus
#4
Xiaoying Gu
2 years bogalusa heart study cardiac injury
#5
Jia'an Xia
critically patients clinical implication secondary infection
#6
Guohui Fan
renal insufficiency mainland china lipid derivatives

Pituitary tumor resection in a patient with SARS-CoV-2 (COVID-19) infection. A case report and suggested airway management guidelines

Abstract

. The 2020 pandemic caused by the novel coronavirus, COVID-19, had its headquarters in China. It causes Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and presents a broad spectrum of clinical manifestations, ranging from entirely asymptomatic through severe acute respiratory failure and death. Presuming a significant quantity of ventilator-dependent patients, several institutions strategically delayed elective surgeries. Particularly procedures performed involving the nasal mucosa, such as a transsphenoidal approach of the pituitary gland, considering the tremendous level of viral shedding. Nevertheless, critical cases demand expeditious resolution. Those situations are severe pituitary apoplexy, declining consciousness level, or risk of acute visual loss. This case presents a successful urgent perioperative management of a 47 year-old male COVID-19 positive patient who presented to the Emergency Department with a left frontal headache that culminated with diplopia, left eye ptosis, and left visual acuity loss after 5 days. Transsphenoidal hypophysectomy was uneventfully performed, and the patient was discharged from the hospital on postoperative day four. It additionally describes in detail the University of Mississippi Medical Center airway management algorithm for patients infected with the novel coronavirus who need emergent surgical attention.