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All Journal Healthy Tadulako Journal (Jurnal Kesehatan Tadulako)
Ridhotullah Istaz Maulana Suprapto
Faculty of Medicine, Jember University, Indonesia
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Perioperative Anaesthesia Management Strategy for Multiple Major Surgeries : Case Report Taufiq Gemawan; Teguh Prastyo; Eqiel Navadz Akthar Alami; Ridhotullah Istaz Maulana Suprapto; Adelia Handoko; Eko Aprilianto Handoko; Arsyzilma Hakiim; Sheilla Rachmania
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 2 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/esa0tj50

Abstract

Background: Major surgery lacks a universally clear definition. The European Surgical Association (ESA) defines it based on factors like patient comorbidities, procedure complexity, and clinical outcomes. Globally, surgery-related one-year mortality is about 5–6%, rising to 14% in frail patients. Laminectomy, laparotomy, and myomectomy is classified as major surgeries, each with significant risks such as bleeding, infection, and readmission. When combined, these surgeries require thorough anaesthesia management to ensure patient safety and surgical success. Objective: The purpose of this study was to give a deep understanding of the case, identify key issues and solutions, and present insight for future action. Methods: Data were collected through direct observation and patient medical records, covering the period from before surgery to three days post-operation. This included medical history, test results, and detailed treatment records. Results: Haemodynamic stability and intraoperative bleeding were well managed and anticipated. Careful repositioning was carried out, partly to maintain airway patency. The patient reported mild postoperative pain and was able to start sitting and walking exercises three days after the surgery. Conclusion: Patients undergoing multiple surgeries require careful monitoring and personalised anaesthetic management. Maintaining physiological stability, proper positioning, and effective fluid and pain control are key to preventing complications.
Co-Authors Adelia Handoko Arsyzilma Hakiim Eko Aprilianto Handoko Eqiel Navadz Akthar Alami Sheilla Rachmania Taufiq Gemawan Teguh Prastyo