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Penanganan Anestesi Wanita Hamil Untuk Kraniotomi Emergensi Hematoma Subdural (Anesthetic Management of Pregnant Woman For Emergency Craniotomy Subdural Hematoma)

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Trauma during pregnancy, including head injury, is the leading cause of accidental maternal death and morbidity, and complicates 6%-7% of all pregnancies which requires multidisciplinary patient's management. The anesthesiologist must understand the physiological changes of pregnancy, their implications, and the specific risks of anesthesia during pregnancy, so that the best anesthetic approach can be performed. The unique physiologic changes of pregnancy, particularly on the cardiovascular system, are both have advantage and dis advantage after acute traumatic injury.
We reported a 28 years old parturient patient at 27-28 weeks of pregnancy who was admitted to emergency department due to motorcycle accident with Glasgow Coma Scale (GCS) of E1 M4Vt, Blood Pressure 130/70 mmHg, Heart Rate 72 x/minute, Respiratory Rate 16 x/minute. The patient was already intubated using an endotracheal tube no. 6.5, the pupils were equal, round and still reactive to light stimulation, fetal heart rate (FHR) was 140-144 x/minute, and head computed tomography scan showed right temporoparietal subdural hematoma. Endotracheal anesthesia was given with isoflurane, oxygen/air, with implementation of standard monitors and Doppler for FHR. The main aim of a neurosurgical intervention in a pregnant woman is to preserve the viability of both the mother and the infant. The main goal in the management of anesthesia for pregnant woman undergoing a non-obstetric surgery is to maintain the uteroplacental perfusion. The role of a multidisciplinary team in the care of high risk parturient patients cannot be avoided.
Key word: pregnant woman, neuroanesthesia, traumatic brain injury, subdural hematoma.

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Detail Information

Series Title

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Call Number

Jurnal Neuroanastesia Indonesia, 1 (3) 2012 : 170-

Publisher

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

Collation

8p

Language

ISBN/ISSN

2088-9670

Classification

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Content Type

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Media Type

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Carrier Type

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Edition

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Subject(s)

PREGNANT WOMEN
HEMATOMA, SUBDURAL
CRAINOTOMY
ANASTHESIA

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