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Journal : Green Medical Journal

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PENATALAKSANAAN ANESTESI PADA PASIEN LABIOGNATOPALATOSCHIZIS DENGAN TETRALOGY OF FALLOT Muh. Wirawan Harahap; Wahyudi
Green Medical Journal Vol 1 No 1 (2019): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (580.154 KB) | DOI: 10.33096/gmj.v1i1.26

Abstract

Telah dilaporkan sebuah kasus general anestesi dengan teknik GA intubasi pada operasi labioplasty pasien pediatri dengan diagnosis labiognatopalatoschizis dengan TOF pada anak umur 8 bulan. Operasi berjalan selama 1 jam dengan pemberian premedikasi sulfas atropin 0,1 mg, midazolam 0,5 mg. Preemptive analgesia diberikan Fentanyl 15 mcg, induksi dengan ketamin 15 mg, pemeliharaan durante operasi menggunakan O2 60 %, Sevoflurane 2-2,5 vol %, fentanyl 4 mcg/jam/sp. Teknik anestesi dengan General Anesthesia Intubasi, ETT ID no. 3 mm. Target manajemen anestesi pada TOF untuk mencegah  shunt dari kanan ke kiri yang dipengaruhi oleh, 1. Penurunan resistensi vaskuler sistemik, 2. peningkatan vaskuler paru, 3. peningkatan kontraktilitas jantung, dapat tercapai sehingga selama operasi hemodinamik stabil. Postoperasi pasien tampak tenang dan tidak kesakitan. Selama 1 Jam di ruang pulih (recovery room) dengan hemodinamik stabil dan saturasi 97-99 %
A Rare Case of Chronic Intracerebral Foreign Body Imran, Naufal Hilmy; Wahyudi
Green Medical Journal Vol 2 No 1 April (2020): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (317.734 KB) | DOI: 10.33096/gmj.v2i1.34

Abstract

Introduction: Intracranial foreign bodies are usually caused by trauma that penetrates the cranium. Gunshot wounds are the most common cause, while non-missile intracranial penetration is rare. The patient’s clinical condition highly depends on the mechanism, anatomical location of the lesion, and related injuries. Possible complications include intracerebral hemorrhage, contusion, major injury on the vascular, and meningitis. In this article, we report case of intracerebral nail extraction from a patient with right cerebral foreign body. Case presentation: A 22-year-old man with a history of unspecified schizophrenia reported with reduced awareness accompanied by weakness of his left limb. During a head CT scan of the head, there are several tubular foreign bodies in the right cerebral. Craniotomy for foreign body extraction and drainage of the cerebral abscess is immediately performed. Four days after surgery, the patient had increased awareness, although there was no significant improvement in motor strength. One month after discharged from hospital there was slight improvement in motor strength. Conclusion: Extraction of foreign bodies by a surgical procedure is mandatory and should be performed thoroughly. The administration of antibiotics, anticonvulsants, physiotherapy, and psychiatric follow-up should be added to the treatment of this patient.
Co-Authors Ahmad Busyairi, Ahmad Ali Kustia Amirullah Ananda Fatara Suwandi Fildzah Kholishotul Azizah Gatot Supangkat Haerani I Wayan Gunada Imran, Naufal Hilmy Irma Indra Wahyuni Kukuh Andri Aka Moh Salimi Mokhamad Khoirul Huda Muh. Wirawan Harahap Muhammad Firdan Resaldi Ni Nyoman Sri Putu Verawati Ni Wayan Puji Nindiani, Aina Robi Nursikin Sudarja Sudarja Sulismadi Sutrio Tedi Sertiadi Titis Rukmana Sari, Ayu Triyadi, Antonius Wahyu Wulandari Widiah Qusminingrum, Ani