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Manajemen Perloperatif Epidural Hemorrhage Akibat Cebera Otak Traumatik (Perioperative Management of Epidural Hemorrhage Due To Traumatic Brain Injury)

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Epidural hemorrhages (EDH) are bleeding in epidural space, usually occur in the middle cranial fossa via laceration of the middle meningeal artery, although they can also occur in the anterior and posteri6r fossae. They are usually lenticular shaped and are bounded by suture lines where the pericranial layer of dura attaches to the skull. Classically patients suffered from EDH experience a lucid interval which is a period of intact consciousness prior to deterioration.
Clinical symptom of intracranial hematoma such as EDH, mainly depend on volume and rate the hematoma formed. tf the intracranial hematoma formed rapidly, there will be a sudden rise on ICP which led to neurologic deterioration that could be deleterious. Perioperative management of intracranial hematoma such as EDH is to maintain brain perfusion and oxygenation, control the ICP, and surgical decompression in some cases. We are discussing perioperative management of two cases suffered from EDH due to traumatic brain injury who underwent emergency craniotomy for clott evacuation. These are important injuries to identify; if detected early they are usually associated with good outcome and have a mortality of less than 10%. Early bleeding control and hematoma evacuation are very important to patient safety and avoid any permanent neurologic injury.
Keywords: EDH, Perioperative Management, Traumatic Brain Injury

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Ketersediaan

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Judul Seri

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No. Panggil

Jurnal Neuroanestesia Indonesia, 1 (1) 2012 : 10-1

Penerbit

Bandung : Indonesian Society of Neuroanesthesia & Critical Care INA_SNACC., 2012

Deskripsi Fisik

6p

Bahasa

ISBN/ISSN

2088-9670

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Tipe Media

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Pernyataan Tanggungjawab

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