Searchable abstracts of presentations at key conferences in endocrinology
Endocrine Abstracts (2021) 77 CMW1.3 | DOI: 10.1530/endoabs.77.CMW1.3

SFEBES2021 Clinical Management Workshops Pituitary challenges: Prompt, practical and post-op (3 abstracts)

Post operative management of pituitary patients – Keeping it straightforward and safe

Simon Cudlip


Department of Neurosurgery, Oxford University Hospitals NHSFT, Oxford, UK.


We live in a world where neurosurgeons still prescribe salt tablets and fludrocortisone for hyponatraemia, and think cerebral salt wasting syndrome happens on a weekly basis. Neurosurgeons clearly need help, and the world of endocrinology needs to stage an intervention

Pituitary surgery is almost exclusively based in tertiary referral centres where neurosurgical departments are sited, often with endocrinology departments on a different site in the same city. In addition, there remain large variations in practice regarding post-op management of pituitary patients, in some cases with post operative protocols varying between individual surgeons and endocrinologists within the same hospital. I will discuss the benefits of pituitary services getting on the same page regarding the postoperative management of pituitary patients. This principally involves agreed protocols and close collaboration between endocrinologists, ANPs and pituitary surgeons. By continued data gathering and fine adjustment of these protocols, continued improvements can be made in postoperative complications and thus patient outcomes, and significantly reduce length of hospital stay.

With a clear protocols, and close team working between surgeons and endocrinologists, clinicians and nurses with less experience of the postoperative management of pituitary patients but involved in the care of such patients, are better placed to deliver high quality care. And remember\.\.right now in your hospital\.\.a neurosurgeon is thinking of prescribing DDAVP without speaking to an endocrinologist\.\.somebody make it stop!

Volume 77

Society for Endocrinology BES 2021

Edinburgh, United Kingdom
08 Nov 2021 - 10 Nov 2021

Society for Endocrinology 

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