Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the...

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Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director at the Barrow Neurological Institute Assistant Director of the Barrow Pituitary Center

Transcript of Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the...

Page 1: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

Introduction to Pituitary Surgery: The Patient Experience

Andrew S. Little, MD

Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director at the Barrow Neurological Institute

Assistant Director of the Barrow Pituitary Center

Page 2: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

Patient Persepctive

• Anxiety• Fear of Unknown• Pain• Complications• Will I be the same person?• “Brain Surgery”

Page 3: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

Neurosurgeons:Back Then

Page 4: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

Neurosurgeons:Back Then

Page 5: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

Neurosurgeons:Now

Page 6: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

DiagnosisPre-op TestingEvaluation

SurgeryRecovery

Medical Team

Life

Page 7: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

Preoperative Testing

• Determine the medical risks of surgery– Heart– Lungs– Blood clotting– Kidneys– Blood levels

Page 8: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.
Page 9: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

Preoperative Testing

Page 10: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

DiagnosisPre-op TestingEvaluation

Surgery

Medical Team

Page 11: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

Day of Surgery

• Preoperative holding– Nurse starts iv

• Meet the surgical team– Nurses– Scrub – Anesthesiologist “The Gas

Passer”– Surgeons

Page 12: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

Day of Surgery

• Hugs & Kisses• Light sedation

– “Intravenous margarita”– Most patients don’t

remember anything after this

Page 13: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

Surgical Suite

Page 14: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.
Page 15: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.
Page 16: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

Endoscopic Instrumentation

Kassam/Snyderman set

http://www.bbraun.com/service-layer-core/res/public/document/BPG000000000000000100001995700000/49FEEC44E5E5011EE1008000D400106F49FEEC46E5E5011EE1008000D400106F?vc=CORPORATE_WEBSITE_COM
http://www.bbraun.com/cps/rde/xchg/bbraun-com/hs.xsl/index.html
Page 17: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

Technical Advancements:Dual Function Instruments

Irrigating Drill Tissue Debrider

Page 18: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

Technical Advancements: Dual Function Instruments

Adjustable Endoscope

Page 19: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

Technical Advancements: Dual Function Instruments

Ultrasonic Aspirator

Page 20: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

High-Definition Video Equipment

Page 21: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

High Definition Low Definition

Page 22: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

DiagnosisPre-op TestingEvaluation

SurgeryRecovery

Medical Team

Page 23: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

Recovery

Page 24: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

Recovery

Page 25: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

DiagnosisPre-op TestingEvaluation

SurgeryRecovery

Medical Team

Life

Page 26: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

Quality of LifeSocial + physical + emotional well being

Page 27: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

Anterior Skull Base Nasal Inventory

Page 28: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

Nose Symptoms

Page 29: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

Nasal Quality of Life:Preliminary Data (n = 60)

Nasal

General

Page 30: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

FAQs

• How long will it take me to recover?– Every patient is different– Recovery is a process, not an endpoint– 1-2 months before you feel back to normal

• When can I go back to work?– 2-4 weeks, depending on demands of job– Tell your employer you need one month off

Page 31: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

FAQs

• When can I blow my nose?– 4-6 weeks

• When can I drive?– Off narcotics– Vision improved

• When can I swim?– 4-6 weeks

• When can I fly?– Anytime

Page 32: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.
Page 33: Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director.

A Special Thanks to our Sponsors

Barrow Neurological Institute

Corcept

Ipsen

KARL STORZ Endoskope


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