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Traumatic Brain Injury (TBI) morbidit), and mortality are due to primary and secondary injury. Primary injury is due to mechanical forces during the trauma process and secondary injury is subsequent process following the primary impact. This secondary injury processes involving increased excitatory amino acids, ionic imbalance, decreased ATP level, unusual proteolytic enzyme activity, and oxida…
Traumatic brain injury is one of life-threatening condition to victims of serious accidents, and is the leading cause of disability and death in adults and children. Subdural hematoma is a focal intracranial lesions are most common, about 24% of patients with severe closed head injury. Oedema cerebral commonly encountered in clinical practice and is a major cause of morbidity and mortality in c…
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…
Traumatic brain injury (TBI) is a major cause of death and dissability, if it doesn 't get any therapy quickly and accurately. Anesthesiologist is important in case to handling the therapy from the accident site until in the neuro intensive care. A standard therapy in TBI is always moving forward by years, that is expected to achieve maximal results in that case. Aman, 37 years old, weight 75…
The use of dexmedetomidine in Neurotrauma still divided between the agree and disagree. Disagreement is the issue of the assessment of patient awareness, while approving the provision of dexmedetomidine were more likely to be used as a sedative and also its effect as a brain protector. The problems mentioned above can be considered by an anesthesiologist in the management of Neurotrauma while…
The brain is the body's vital organs are susceptible to damage. Have a high oxygen demand, is highly dependent on glucose, has a high metabolic rate, but have low adaptability of the injury and it is very difficult to regeneration. Injury on brain cells (neurons) is a serious condition because of risk for dysfunction and cells death. The brain needsfor oxygen and glycogen constanly to produce…
Head trauma (TBI) in children is a particular problem in neuroanestesi. There are differences in anatomy, physiology and psychosocial, as well as children who are experiencing brain development/growth. In the event of trauma will cause mortality and morbidity and a higher rate, which is very influential in the development of children. Skull fracture, epidural hemorrhage, subdural and intracereb…
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…