Khadafi Indrawan
Program Pendidikan Dokter Fakultas Kedokteran Universitas Brawijaya

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Journal : Medula

Komplikasi Spinal Anastesi Pada Pasien Operasi: Literature Review Sujadi, Didi; Suharmanto, Suharmanto; Indrawan, Khadafi
Medula Vol 15 No 3 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i3.1646

Abstract

Abstract Spinal anesthesia is a commonly used anesthetic technique in various surgical procedures. Most operations are performed using spinal anesthesia rather than general anesthesia or local anesthesia. Spinal anesthesia is a regional anesthetic technique that involves injecting a local anesthetic into the subarachnoid space. Spinal anesthesia can avoid the risks of failed endotracheal intubation and the possibility of aspiration of gastric contents during general anesthesia, and can provide patient satisfaction. This article was written using a literature review method conducted through a literature search of various national and international journals. Journal articles from 2015 to 2025 served as the basis for the article used. References used were searched through the Pubmed, NCBI, and Google Scholar databases. The reading sources used were then analyzed using a systematic literature review method, which includes the activities of collecting, evaluating, and developing research with a specific focus. Spinal anesthesia, while having advantages, can also cause several complications. Complications of spinal anesthesia can include hypothermia, shivering, post-operative nausea and vomiting (PONV), post-dural puncture headache (PDPH), high or total spinal block, and urinary retention.
MANAJEMEN ANESTESI PADA PASIEN TUMOR TIROID DEXTRA SUSPEK KEGANASAN: SEBUAH LAPORAN KASUS Salsabila, Indah; Indrawan, Khadafi
Medula Vol 15 No 3 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i3.1683

Abstract

Thyroid nodules are excessive growth and structural changes with or without functional changes in one or more parts of the thyroid tissue. The prevalence of thyroid cancer is 4-6% of thyroid nodules ( both of single or multiple nodules). Thyroid cancer is the most common endocrine malignancy with an incidence of 3.1% worldwide. One of the treatments for thyroid cancer is thyroidectomy. Indications for thyroidectomy are thyroid malignancy, obstructive symptoms, retrosternal goiter and Graves' disease unresponsive to medical treatment, recurrent hyperthyroidism, Hashimoto's disease and for cosmetic reasons. Thyroid malignancy poses several difficulties in anesthesia. Airway management in patients who have cancer in the head and neck may experience abnormal changes in the airway anatomy. Therefore, it is necessary to prepare an anesthesia plan as well as appropriate pre-operative, intra- operative and post-operative management so that the operation runs smoothly and safely and reduces morbidity and mortality in patients.