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 o…
Anesthesia procedure in the prone position was often necessary in order to facilitate access to a variety of surgical operations, including neurosurgery among others, the spine surgery. In addition to physiological changes, some complications can also occur in the prone position that should receive special attention, so it requires a good understanding of this issue. Case: Laminectomy was bein…
Anesthesia procedure in the prone position was often necessary in order to facilitate access to a variety of surgical operations, including neurosurgery among others, the spine surgery. In addition to physiological changes, some complications can also occur in the prone position that should receive special attention, so it requires a good understanding of this issue. Case: Laminectomy was bein…
Tetralogy of Fallot (TOF) was jirst described in 1888 by a French physician named Etienne-Louis Arthur Fallot. Tetralogy of Fallot (TOF) is one type of cyanotic congenital heart defect most widely found. Tetralogy of Fallot (TOF) has four abnormalities: (1) pulmonary infundibulum stenosis, (2) VSD (Ventricular Septal Defect), (3) overriding aorta, and (4) right ventricular hypertrophy. Patients…
Background and Objective: Post operative cognitive dysfunction (POCD) is a common and becoming a serious problem since it can impair the quality of life of the patient who underwent surgery and increase the burden of health cost. In this study, author wanted to know the incidenee of POCD among patients undergoing elective surgery patients in dr. Sutomo hospital and examine the risk factors. M…
Management of anesthesia in arteriovenous malformation (AVM) presents a great challenge due to the complexity of understanding and pathophysiology that has not been clearly understood. Progress diagnostic tools such as CT scan or MRI will increase the incidence of AVM discovery in our society. Although the technology is more advanced surgery but morbidity and mortality in patients with A VM rem…
Posterior fossa is a narrow space, which is occupying by cerebellum, brain stem and cranial nerves. The abnormalities that can be happen in cerebellum including neoplasm, hemorrhage or ischemia. Anesthesia management in posterior fossa surgery must be done with caution and thorough, in preoperative, intraoperative and postoperative period. In addition, the patient position is must be cleared an…
Intracerebral hemorrhage (ICH) is the extravasations of blood into the brain parenchyma, whicli may develop into ventricular and subarachnoid space, there was spontaneous and not caused by trauma (non¬traumatic), and one of the most common cause in patients treated in the neurological critical care unit. ICH represents perhaps 10-15% of all strokes with the highest mortality rates of stroke su…