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Penatalaksanaan Anestesi Pada Shaken Baby Syndrome (Anesthesia Management For Shaken Baby Syndrome)
Shaken Baby Syndrome is a condition of intracerebral hemorrhage or intraocular without or with only minimal trauma to the head, neck or face. This case is ofien referred to cases of child-parent violence. This cases in the U.S, approximately 50,000 cases per year. From all event, one third died and half of the cas es that survive with severe neurological deficit. Generally, prognosis of patients is poor.
In Indonesia data on this subject does not exist. But it has a tendency to increase. Symptoms of a subdural hematoma is ofien obtained, retinal hemorrhages and brain edema. This case ofien followed by multiple fractures, cervical and other neck trauma tissues. Diffuse axonal injury researchers ofien reported for this case.
Generally neuroanestesi technique for pediatric equal with pediatric trauma neuroanesthesia. Anesthesi challenges for this case was ICP, because increased ICP could influence for CBF, CMRO2 and cerebral autoregulation. Avoid anesthesi drugs, technique and the calculation of fluid during surgery to damaged this condition. Postoperative patients were treated and observed in the PICU.
Key words: Shaken Baby Syndrome, brain injury, subdural hematoma, retinal hemorrhage, oedema cerebri, prognosis.
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