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All Journal Majalah Kedokteran Bandung Jurnal Anestesi Perioperatif Althea Medical Journal Majalah Anestesia dan Critical Care Jurnal Neuroanestesi Indonesia Acta Medical and Health Sciences (AMHS) Neurona
Iwan Fuadi
Departemen Anestesiologi Dan Terapi Intensif Fakultas Kedokteran Universitas Padjadjaran/Rumah Sakit Dr. Hasan Sadikin Bandung
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Tatakelola Ventilasi Mekanik pada Pengangkatan Tumor Metastasis Ekstradura Torakal dengan Teknik Anestesi Satu Paru dan Posisi Lateral Dekubitus Putri, Dini Handayani; Bisri, Dewi Yulianti; Fuadi, Iwan; Harahap, M Sofyan
Jurnal Neuroanestesi Indonesia Vol 9, No 1 (2020)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2675.83 KB) | DOI: 10.24244/jni.v9i1.254

Abstract

Spinal adalah lokasi yang paling umum untuk metastasis tulang. Metastasis spine dapat menyebabkan nyeri, ketidakstabilan tulang belakang dan cedera neurologis lainnya. Pada operasi tumor spinal metastasis pendekatan pembedahan menjadi hal penting baik bagi ahli bedah saraf maupun neuroanestesi. Pada kasus ini laki-laki 60 tahun dengan tumor ekstradura metastasis torakal akan menjalani operasi pengangkatan tumor dan stabilisasi dengan pendekatan posterolateralextracavity untuk mendapat akses yang optimal ke bagian ventral spinal bagian torakal atas. Pasien di induksi dengan fentanil 200 mcg dan propofol 100 mg, fasilitasi intubasi dengan rocuronium 50 mg dan pemasangan double lumen tube kiri, posisi lateral dekubitus. Ketika dilakukan ventilasi satu paru pasien mengalami kejadian desaturasi oksigen sampai 93%, dilakukan penyesuaian mode ventilator sebagai penanganannya. Pascaoperasi pasien tidak diekstubasi dan menjalani perawatan diruangan intensif selama dua hari dan dipulangkan pada hari ke 13. Tatakelola kasus ini difokuskan pada penilaian preoperatif, pengaruh posisi lateral dekubitus dan teknik anestesi satu paru terhadap fungsi respirasi dan kardiovaskular. Risiko hipoksemia akibat ketidaksesuaian ventilasi / perfusi yang menyebabkan gangguan oksigenisasi dan perfusi terhadap otak dan medulla spinalis, sehingga diperlukan tatakelola ventilasi mekanik, monitoring intraoperasi yang berhubungan dengan kaidah-kaidah neuroproteksi terhadap otak dan medulla spinalis.Management of Mechanical Ventilation in the Removal of Thoracal Extradura Metastatic Tumors with One Lung Anesthesia Technique in Decubitus Lateral PositionAbstractThe spine is the most common location for bone metastases. Spine metastases can cause pain, spinal instability and other neurological injuries. In spinal metastatic tumor surgery a surgical approach is important for both neurosurgeons and neuroanesthesiologists. In this case, a 60-year-old man with a thoracic metastatic extradura tumor would undergo tumor removal and stabilization with the posterolateralextracavity approach to obtain optimal access to the ventral spinal ventral region. Patients were induced with 200 mcg fentanyl and propofol 100 mg, facilitation of intubation with 50 mg rocuronium and installation of the left double lumen tube, lateral decubitus position. When one lung is ventilated, the patient experiences an oxygen desaturation event of up to 93%, adjusting the ventilator mode as a treatment. Postoperatively the patient was not extubated and underwent intensive care for two days and was discharged on day 13. The case management focused on preoperative assessment, the influence of lateral decubitus position and one-pulmonary anesthetic technique on respiration and cardiovascular function. The risk of hypoxemia due to ventilation / perfusion mismatches that cause oxygenisation and perfusion disorders of the brain and spinal cord, so that management of mechanical ventilation, intraoperative monitoring associated with neuroprotection rules of the brain and spinal cord.
Basic Principles of Processed Electroencephalography for Neuroanesthesiologists Pramodana, Bintang; Fuadi, Iwan
Jurnal Neuroanestesi Indonesia Vol 15, No 1 (2026)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24244/jni.v15i1.743

Abstract

Processed electroencephalography (pEEG) has become an integral tool in modern anesthesia and critical care, enhancing the precision of anesthesia depth monitoring, reducing the risk of accidental awareness under general anesthesia (AAGA), and postoperative cognitive issues. Unlike raw EEG, which records cortical electrical activity directly, pEEG applies mathematical and algorithmic analyses, such as spectral analysis and Fourier transformation, to generate numerical indices that are more interpretable for clinicians. Several commercial systems, including the Bispectral Index (BIS), Entropy, Conox, and SedLine, are widely available. For neuroanesthesiologists, understanding core EEG principles and advanced metrics, such as the Density Spectral Array (DSA), Spectral Edge Frequency (SEF), and Burst Suppression Ratio (BSR), is crucial for accurate interpretation. Moreover, recognizing EEG patterns characteristic of various anesthetic agents, including propofol, inhaled agents, dexmedetomidine, ketamine, and opioids, further refines clinical decision-making. Mastery of EEG interpretation ultimately supports better safety, individualized neuroanesthesia practice aligned with the principles of precision medicine
Co-Authors - Elvidiansyah - Elvidiansyah A Himendra Wargahadibrata A Himendra Wargahadibrata A. Muthalib Nawawi A.A. Ketut Agung Cahyawan W Abdul Muthalib Nawawi Abdul Muthalib Nawawi Abdul rachman, Iwan Abdul Rahman Aisyah Ummu Fahma Aminuyati Andre Aditya Andy Hutariyus Ardhana Risworo Anom Yuswono Ardhana Risworo Anom Yuswono Ardi Zulfariansyah Ardi Zulfariansyah Ardi Zulfariansyah Ari Saptadi Ari Saptadi Ariestian, Erick Army Zaka Anwary, Army Zaka Arna Fransisca Arsy Felisita Dausawati Arsy Felisita Dausawati Asyer Asyer Bisri, Tatang https://scholar.google.co.id/citations?u Bramantyo Pamugar Dedi Fitri Yadi Defri Aryu Dinata Defri Aryu Dinata, Defri Aryu Dessy Sutoyo Dewi Ramadani Dewi Ramadani Dewi Yulianti Bisri Dian Novitasari Doddy Tavianto Dzulfikar D. L. Hakim Eka Damayanti Eko Nofiyanto Eri Surahman Eri Surahman Erick Ariestian Erwin Pradian Eva Srigita Tari Ezra Oktaliansah Fahma, Aisyah Ummu Firdaus, Riyadh Fithrah, Bona Akhmad Fithrah, Bona Akhmad Fitri Sepviyanti Sumardi Hamzah Hamzah Hansen Wangsa Herman Harahap, M Sofyan Hidayat, Dede A Hunter D. Nainggolan Hunter D. Nainggolan Ike Sri Redjeki Ike Sri Redjeki Indra Wijaya Indriasari Indriasari Iwan Abdul Rachman Jimmy Setiadinata Jimmy Setiadinata, Jimmy Kartapraja, Roni D. Lisda Amalia Lukman Hidayat M Andy Prihartono M. Erias Erlangga M. Erias Erlangga, M. Erias Maharani, Nurmala Dewi Mariko Gunadi Mariko Gunadi Martaria, Nency Martinus, Fardian Martinus, Fardian Maulana Muhammad Maulana Muhammad, Maulana Mayasari, Ferra Mayasari, Ferra Muhammad Adjie Pratama Nadya, Siti Fairuz Oktivia, Wenny Pamugar, Bramantyo Pison, Osmond Muvtilof Pramodana, Bintang Prihatno, M. Mukhlis Rudi Putri, Dini Handayani R, Tubagus Yuli R, Tubagus Yuli Radian Ahmad Halimi Rahmadsyah, Teuku Rahmatisa, Dimas Rahordjo, Sri Richard Pahala Sitorus Rini Rustini Riyadh Firdaus Roni D. Kartapraja Rudi Kurniadi Kadarsah Ruli Herman Sitanggang S, Achmad Afif Saleh, Siti Chasnak Saleh, Siti Chasnak Setiawan Setiawan Sitanggang, Ruli H. Sitorus, Richard Pahala Sri Rahardjo Sri Rahardjo Sudadi Sudadi Suryadi Suryadi Suryadi Suryadi Sutoyo, Dessy Tantarto, Tamara Tatang Bisri Tatang Bisri Theresia C. Sipahutar Theresia C. Sipahutar Theresia Monica Rahardjo Thomas Thomas Tinni T. Maskoen Tinni T. Maskoen Tinni T. Maskoen Wandira, Rega Dwi Wargahadibrata, A. Hmendra Wargahadibrata, A. Hmendra Widiastuti, Monika - Wildan Firdaus Yunita Susanto Putri Yunita Susanto Putri Zamzami, Nyiemas Moya Zamzami, Nyiemas Moya