Text
Perloperatif Anestesi Pada Kraniotomi Penderita Cedera Otak Berat (Perioperative Anesthesia In Craniotomy For Severe Traumatic Brain Injury)
Traumatic brain injury (TBI) is a major cause of death and dissability, if it doesn 't get any therapy quickly and accurately. Anesthesiologist is important in case to handling the therapy from the accident site until in the neuro intensive care. A standard therapy in TBI is always moving forward by years, that is expected to achieve maximal results in that case.
Aman, 37 years old, weight 75 kg, height 170 cm. This patient was referral from another hospital in counties with severe head injury. Takes 12 hours, from the accident event until the patient arrive in the operating room. GCS is continues to drop from 11 ( 3,3,5) to 8 (2,2,4) and became 7 (1,2,4) then the intubation is taking place in the resuscitation room, before the patient get into the operation room. Craniotomy was done in 7 hours to evacuate subdural hematoma. After surgery, ICP monitoring and intracranial hypertension therapy was taken. In the 3rd day after surgery, tracheostomy was given to the patient. In the 5rd day after main surgery, GCS is 2, X, 5 (with tracheostomy) and move to ward.
The treatments of patient with TBI should taken on the site of accident until the patient in care unit. A trained emergency staff in every region is expected in patient management ejJectively, that can affect in final results.
The selection of anesthesia agent is depends on both patient and hospital, condition and circumstances. All of it, has aprimary purpose to prevent secondary damage and expected to reduce mortality and disability in patients.
Keywords : anesthesia, severe brain injury, traumatic brain injury.
No other version available