Nursing is a professional services form an integral part of health care, based on the knowledge and skill of nursing, bio-psycho-shaped ministry comprehensive spiritual addressed to individuaIs, families and communities either sick or healthy that covers the entire process of human life. Nursing problem is severe brain injury patients is covering problem airway, breathing, circulation and disab…
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…
During Traumatic brain injury, secondary insults will led to physiological and biochemical cascade that disturbing cerebral energy metabolism. After traumatic brain injury, sustained changes in cellular energy metabolism have been described as accelerated glycolysis or mitochondrial dysfunction. Traumatic brain injury is associated with increasing energy needs to res tore cerebral ionic hemosta…
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…
Acute spinal cord injury is common cause Jor weakness and morbidity. The primary cause of spinal cord injury is trauma, high incidency at man 5 time higher than woman. Aman, 25 years old, body weight 50 kg, height 160 cm has been consulted to Department of Anesthesiology with paraplegia cause by vertebrae C5-6 fracture pro decompression and posterior stabilization. Vital sign: blood pressure 1…
Background and Objective : The tissue has a difJerent requirement for glucose. The brain has the greatest need for glucose. The brain is very susceptible to ischemia suggests that the brain has a high metabolic rate. Mechanism of ischemic injury is the biochemical changes and physiological changes that occur due to circulatory disturbances. Such changes as: (1) The loss of high energy phosphate…
Many factors should be considered by a surgeon to choose an abdominal incision, such as incision extensibility, speed of operation, presence or absence of adhisions, hemostasis problems, possibility of postoperative complications such as infections, hernia or dehiscence, and wound healing. Midline or linea mediana incision makes the field operation seem wider, therefore the operations can be pe…
This study aims to determine the relationship between helmet usage and type of he(met WIth the level of brain injury. This type of research used the enetytk: Quota sampling technique with total 30 respondents for December 2 to 15 August 2010. Data collection using structured interviews and nursing documentation. Analysis using statistical test Spearman Rank Order Correlation with SPSS 17. The…