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Pengelolaan perioperatif anestesi pada pasien dengan pembedahan hipofisis (Perioperative management anesthesia on patients undergoing pituitary surgery)

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Perioperative management on patients undergoing pituitary surgery is varies according to the size of pituitary
lesion, type of lesion, surgical method used and the ideal preoperative function of endocrine. Specific problems in most patients relate to primary hormonal hypersecretion conditions and its complications. It cause by the absence of best methods for all patients undergoing this kind of surgery.
Pituitary glands lie on the floor of the skulls bone, in sella turcica, right behind the chiasma optica. This glands was divided into two parts, pars anterior (adenohypophyse), its about 75% which is the biggest part of it, and the pars posterior (neurohypophyse) that fused with hypothalamus. This gland secretes hormone that controlled impuls nervus by the hypothalamus. In general, pituitary tumor was came from pars anterior, benign adenoma
and histoligically same with a normal glands.
A series of initial evaluation is required before the surgery take to the patients. Anesthesia management in the
surgery is adapted to its technique. The other things that is equally important is post operative monitoring in neuro intensive care, according to complications and transient hormone replacement method after the surgery. The understanding of preoperative assessment, intraoperative management, potential complication, surgical methods and several ways to prevent complications are the fundamental for successful perioperative patientscare to prevent morbidity and mortality.
Keywords: pituitary anesthesia, postoperative care, preoperative pituitary

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Detail Information

Series Title

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Call Number

Jurnal Neuroanastesia Indonesia, 1 (2) 2012 : 132-

Publisher

Bandung : FK UNPAD., 2012

Collation

10p

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)

anesthesia
PATIENTS
PITUITARY DISEASES

Specific Detail Info

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