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Background and Objective: Post operative cognitive dysfunction (POCD) is a common and becoming a serious problem since it can impair the quality of life of the patient who underwent surgery and increase the burden of health cost. In this study, author wanted to know the incidenee of POCD among patients undergoing elective surgery patients in dr. Sutomo hospital and examine the risk factors. M…
The use of dexmedetomidine in Neurotrauma still divided between the agree and disagree. Disagreement is the issue of the assessment of patient awareness, while approving the provision of dexmedetomidine were more likely to be used as a sedative and also its effect as a brain protector. The problems mentioned above can be considered by an anesthesiologist in the management of Neurotrauma while…
Neuroendocrine tumor is commonly in adult patient with incidence 10-15% in all of intracranial neoplasm and highest at 4th-6th of life decade. Patients with neuroendocrine tumor have an unique challange for anesthesiologist because the important role of pituitary gland in endocrine system. The challange came during preoperative, intraoperative and postoperative periode. Many of anesthesia t…
The brain is the body's vital organs are susceptible to damage. Have a high oxygen demand, is highly dependent on glucose, has a high metabolic rate, but have low adaptability of the injury and it is very difficult to regeneration. Injury on brain cells (neurons) is a serious condition because of risk for dysfunction and cells death. The brain needsfor oxygen and glycogen constanly to produce…
Intracerebral hemorrhage (ICH) is primary in many cases are caused by the rupture of blood vessels due to chronic hypertension called vasculopathy hypertensive hematoma due to intracerebral haemorrhage occurred which resulted in an increase in intracranial pressure and pressure on surrounding brain tissue causing neurological deficits. which if not treated quickly can result in death or disabil…
Craniopharyngioma is a sellar and parasellar tumor, which accounts to 6-10% of childhood brain tumors. Common symptoms are signs of increase intracranial pressure, like headache, vomiting and visual dysfunction. A signijicant endocrine dysfunction is an usual feature of craniopharyngioma due to the proximity of the tumor to hypothalamus and pituitary gland. Short statue found in 50-86% patient …
Traumatic Brain Injury (TBl) is one of the serious life-threatening condition in trauma victim, and as the major cause of disability and death in adult and children. Subdural hematoma is the most often focal intracraniallesion found, with the incidence of 24% in elose head injury cases. Approximatelly 6-24% of Atrial Fibrilation (AF) contributes to ischemic stroke and sudden death because of he…
Trauma during pregnancy, including head injury, is the leading cause of accidental maternal death and morbidity, and complicates 6%-7% of all pregnancies which requires multidisciplinary patient's management. The anesthesiologist must understand the physiological changes of pregnancy, their implications, and the specific risks of anesthesia during pregnancy, so that the best anesthetic approach…
Head trauma (TBI) in children is a particular problem in neuroanestesi. There are differences in anatomy, physiology and psychosocial, as well as children who are experiencing brain development/growth. In the event of trauma will cause mortality and morbidity and a higher rate, which is very influential in the development of children. Skull fracture, epidural hemorrhage, subdural and intracereb…
Background and Objective: Intraventricular and intracerebral haemorrhage is an acute condition that can occurs spontaneously due to hypertension or rupture of aneurism, and also can be occurs as a result from brain damage caused by trauma. Management in this acute condition can be done by either giving particular drugs or through surgical procedures. The aim of surgical procedure is to reduce a…