Letter to Editor

Transient Perioperative Hyperlactatemia in a Patient Undergoing Transnasal Transsphenoidal Surgery for Pituitary Macroadenoma

[1] Kalimisetty S, Voleti V, Kiran N, Madhusudhana R. Anesthetic management in a patient with recurrent pituitary macroadenoma. Indian J Anesth Analg. 2022; 9(4):178-81.
[2] Shen X, Cao X, Che X, Wang K, Qiao N. Lactate levels during anesthesia in patients undergoing craniopharyngioma surgery. Front Surg. 2025; 12:1541810.
[3] Ioannoni E, Grande G, Olivi A, Antonelli M, Caricato A, Montano N. Factors affecting serum lactate in patients with intracranial tumors - A report of our series and review of the literature. Surg Neurol Int. 2020; 11:39.
[4] de Smalen PP, van Ark TJ, Stolker RJ, Vincent AJPE, Klimek M. Hyperlactatemia After Intracranial Tumor Surgery Does Not Affect 6-Month Survival: A Retrospective Case Series. J Neurosurg Anesthesiol. 2020; 32(1):48-56.
[5] Saini V, Malhotra SK, Sharma K. Pituitary surgery and anesthetic management: an update. World J Endocr Surg. 2016; 5(1):1-5.
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Keywords
Hyperlactatemia Pituitary macroadenoma Transnasal transsphenoidal surgery Type B lactic acidosis Neurosurgical Anesthesia Perioperative metabolic changes

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1.
Mohapatra S, Baheti S, Baheti S. Transient Perioperative Hyperlactatemia in a Patient Undergoing Transnasal Transsphenoidal Surgery for Pituitary Macroadenoma. Arch Anesth & Crit Care. 2026;.