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Penangan anastesi pada cedera otak traumatik (Anasthesia management in traumatic brain injury

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Abstract
Traumatic Brain Injury (TBI) is a big problem in the world because of high mortality and morbidity. TBI burdens approximately 600,000 people every year in USA. Head injuries are found in 17.6% of all trauma in-patients and are the most common cause of death after injury (26.6%) in Germany.
Here we report anesthetic management in male, 19 yrs old, 65 kgs body wieght, diagnose was Epidural Haematome (EDH), left frontotemporal intracranial haemorrhage (ICH), right temporal ICH, and linear fracture of left temporal bone. He was undergoing craniotomy procedure to evacuate blood clot. Blood pressure was 110/70 mmHg, HR 98 x / m, RR 24 x /m ,core temperature 37,50 C. GCS E1 V3 M5. Induction of anesthesia was with Fentanyl 100 lig, Propofol 100 mg. Intubation with Rocuronium 40 mg, Lidocaine 70 mg and maintenance with Isofluran and oxygen with intermittent Propofol, Fentanyl, and Rocuronium. After undergoing 4 hours anesthesia for craniotomy was ended, patient transfer to ICU. After 2 days patient was transfer to ward with GCS score E3V5M6.
Anesthesia managementi in intracranial bleeding cc TBI is very important for understand intracranial hypertension pathophysiology, cerebral perfusion pressure. Basic brain rescucitation perioperatively with pharmacological and non pharmacological strategies is very important in TBI to prevent secondary brain injury.

Keywords: Traumatic brain injury, anesthesia management, Intracranial pressure.

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Ketersediaan

Informasi Detail

Judul Seri

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No. Panggil

Jurnal Neuroanastesia Indonesia, 1 (2) 2012 : 120-

Penerbit

Bandung : FK UNPAD., 2012

Deskripsi Fisik

12p

Bahasa

ISBN/ISSN

2088-9670

Klasifikasi

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Tipe Isi

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Tipe Media

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Tipe Pembawa

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Edisi

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Subjek

PATIENTS
PITUITARY DISEASES
ANASTHESIA

Info Detail Spesifik

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Pernyataan Tanggungjawab

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Versi lain/terkait

Lampiran Berkas

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