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Penatalaksanaan Cedera Otak Pada Anak (Management of Brain Trauma In Children)

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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 intracerebral, brain edema may lead to an ejJect on growth and other organ.
A boy, 4 years 10 months, admitted to hospital with the experience a decrease in consciousness after fallingfrom a vehicle due to traffic accidents. Come to the hospital approximately 6 hours after the accident, previously treated in nearly hospitals. On examination 10 obtained GCS, pupillary light reflex isocoor 2/2mm + / +, hemodynamics in the normal range, anemia (+). After a physical examination and was diagnosed with an additional examination brain damage due to trauma (GCS 10) + obtained frontoparietal bone fracture open fracture of the right frontal bone fracture + left + contusio hemorrhagic + anemia. Surgical debridement and correction of the broken bone fragments under general anesthesia. Post surgery patients cared for in ICUs with increased awareness, things got better. Then the patient at discharge after 15 days.
Anesthesia management in head trauma the child has special problems that are different from adults. It is necessary to an understanding of the anatomy, physiology and psychology are both in preparation and stylists specijically so as to prevent or reduce the likelihood of postsurgery complications.
Keywords: Head Trauma, Anesthesia in children, Anemia

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Series Title

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Call Number

Jurnal Neuroanastesia Indonesia, 1 (3) 2012 : 163-

Publisher

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

Collation

7p

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ISBN/ISSN

2088-9670

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Subject(s)

child
brain injuries
ANASTHESIA

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