Text
Anestesi Untuk Drainase Abses Otak Pada Pasien Dengan Tetralogy Faiiot Yang Tidak Dikoreksi (Anesthesia For Brain Abscess Drainage In Patient With Uncorrected Tetralogy of Fallot )
Incidence of brain abscess is a rare but potentially highly threatening. That included predisposing factors for brain abscess including cyanotic congenital heart disease, with a predisposing factor of about 5 to 18.7% of patients with CHD found a brain abscess. A brain abscess can occur in both hemispheres, and about 64-76% abscess in the parietal, frontal or temporal lobes. Most brain abscesses occur in one lobe, but 10-27% involving involving more than one lobe. Most congenital heart disease cause complications in the brain, including within the category of cyanotic congenital heart disease, the vast majority were tetralogy of Fallot (TOF) and transposition of the great arteries. In cyanotic congenital heart disease often found Streptococcus, whereas when the post-craniotomy abscesses are often found Staphylococcus or Streptococcus. Primary brain abscess treatment is to reduce the mass effect and eliminate germs. Management of brain abscess therapy can be divided into surgical and conservative treatment. To eliminate the cause, either aspiration or surgical excision and antibiotics. Management of anesthesia in these patients is a combination of understanding neuroanesthesia techniques and pathophysiologic TOF. The purpose of the management of anesthesia in patients with TOF is to maintain intravascular volume and systemic vascular resistance • (SVR). The increase in pulmonary vascular resistance (PVR), as might occur due to acidosis or airway pressure overload, should be avoided. Ketamine is the common drug for induction, because its effect on SVR.
Keywords:, abscess drainage, neuro anesthesia, Tetralogy of Fallot
Tidak tersedia versi lain