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Tatalaksana Anestesi Pada Pendarahan Intraserebral Spontan/Non Trauma (Anesthesia Management In Intra Cerebral Hemorrhage Spontaneous/non Traumatic
Intracerebral hemorrhage (ICH) is the extravasations of blood into the brain parenchyma, whicli may develop into ventricular and subarachnoid space, there was spontaneous and not caused by trauma (non¬traumatic), and one of the most common cause in patients treated in the neurological critical care unit. ICH represents perhaps 10-15% of all strokes with the highest mortality rates of stroke subtypes and about 60% of patients with ICH do not survive beyond one year
Case: Men 18 years, came with complaints of loss of consciousness after feeling weakness on the right limb that occurs suddenly while driving a vehicle. On examination of consciousness obtained GCS E3M5V2 with hemodynamic was stable, there right hemiplegic. Patients treated in intensive care for 4 (four) days, because of decreased consciousness GCS E2M4V2 then performed MSCt test, found the existence of ICH (approximately 30cc) compared with the previous MSCt and the midline shift was more than 5mm. It was decided to evacuate immediately craniotomy action with adequate investigation.
Discussion: Procedure of craniotomy evacuation in ICH patients be a challenge for an anesthesiologist, so knowledge of the pathophysiology, mortality ICH and anesthetic procedure that should be prepared and done properly.
Keywords: Spontaneous/non traumatic Intracerebral Hemorrhage, Anesthesia Management
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