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Penatalaksanaan Anestesi Untuk Tumor Neuroendokrin (Anesthesia Management For Neuroendocrine Tumor)
Neuroendocrine tumor is commonly in adult patient with incidence 10-15% in all of intracranial neoplasm and highest at 4th-6th of life decade.
Patients with neuroendocrine tumor have an unique challange for anesthesiologist because the important role of pituitary gland in endocrine system. The challange came during preoperative, intraoperative and postoperative periode.
Many of anesthesia technique and anesthetics can use for neuroendocrine tumors surgery. The choice of anesthetics depend on comorbid diseases and history of anesthesia previously. If needed fast emergens for neurological evaluation, it can be use drug with fast elimination (ex propofol and remifentanil) or inhalation anesthetic with low coefficient partition (ex sevojlurane) is rational choice.
The successful surgery and anesthesia management for neuroendocrine patient need multidisipline approach and depend on the quality of postoperative care.
Key words: pitutary gland, endocrine system, neuroendocrine tumor, anesthesia technque
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