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Pengelolaan Anestesi Pada Perdarahan Intrakranial Akibat Stroke Hemoragik Anesthesia Management In Intracranial Haemorrhagic Because of Haemorrhagic Stroke

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Intra cerebral haemorrhage (ICH) burdens approximately 20 in 100,000 people every year. The typical hemorrhagic stroke patient is ten years younger than the ischemic stroke patient. Most ICH bleeds are subcortical and over 50% of spontaneous intracerebral hemorrhages occur in the basal ganglia. Populations at greatest risk include men, the elderly and African American, and Asian. Stroke is one of among clinical situations where protecting the central nervous system is a priority. Drugs such as barbiturates, etomidate, propofol, isoflurane, methylprednisolone, tirilazad mesylate, nimodipine, nicardipine, and mannitol are used for protecting the nervous tissue.
Here we report successful anesthetic management in male, 41 yrs old, 60 kgs body weight, diagnose was left parietal Intra Cranial Haemorrhage (ICH) with oedema ec Haemorrhage stroke. Undergoing Craniotomy procedure to evacuate blood clot in left median cerebral artery (Thalamo Striata artery). Blood pressure was 214 I 142 mmHg, HR 92 x 1m, RR 28 x 1m ,core temperature 36° C. GCS E1 V1 M4. After undergoing 3 hours and 30 minutes anesthesia for craniotomy was ended, patient transfer to ICU. After 6 days patient was transfer to ward. Anesthesia managementi in Intracranial Bleeding ec Haemorrhagic Stroke is very important for basic brain rescucitation perioperatively with pharmacological and non pharmacological strategies, besides principle management of hypertensive emergencies.
Keywords : Intracerebral haemorrhagic, anesthesia, hypertension

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Series Title

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Call Number

Jurnal Neuroanestesia Indonesia, 1 (4) 2012 : 259-

Publisher

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

Collation

10p

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ISBN/ISSN

2088-9670

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Subject(s)

hemorrhage
anesthesia
hypertension
INTRACRANIAL

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