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All Journal Medicina Buletin Udayana Mengabdi INDONESIAN JOURNAL OF BIOMEDICAL SCIENCES E-Jurnal Medika Udayana Majalah Kedokteran Bandung Bali Journal of Anesthesiology Syntax Literate: Jurnal Ilmiah Indonesia PREPOTIF : Jurnal Kesehatan Masyarakat Neurologico Spinale Medico Chirurgico Jurnal Neuroanestesi Indonesia Jurnal Anestesi dan Terapi Intensif Udayana Jurnal Anestesiologi dan Terapi Intensif
I Wayan Suranadi
Department Of Anesthesiology, Pain Management, And Intensive Care, Faculty Of Medicine, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Physics Public Health Social Sciences Other

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Journal : Jurnal Neuroanestesi Indonesia

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Anesthesia Considerations in Patients with Heart Failure who will Undergo Glioblastoma Tumor Removal Surgery Suranadi, I Wayan; Adistaya, Anak Agung Gde Agung; Jeanne, Bianca
Jurnal Neuroanestesi Indonesia Vol 14, No 2 (2025)
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.v14i2.653

Abstract

Perioperative complications in neurosurgery encompass a range of issues, including hemodynamic instability, significant bleeding, extended procedure durations, and unusual patient positioning. Additionally, fluctuations in carbon dioxide levels, whether hypercapnia or hypocapnia, can contribute to secondary brain injury. Hemodynamic instability is particularly likely during critical moments such as laryngoscopy and intubation, head pins, and the manipulation of the scalp, bone, and dura mater. Patients with congestive heart failure (CHF) and other cardiovascular comorbidities require special attention throughout the entire surgical process, from the preoperative period through to postoperative care. Here, we present a case study on the successful anesthesia management of a patient with moderate heart failure undergoing glioblastoma tumor removal surgery. This case underscores the necessity of individualized anesthetic approaches and vigilant monitoring to minimize risks and ensure patient safety in complex neurosurgical procedures. The main goal of anesthesia in CHF patient undergo neurosurgical procedure are to maintain cerebral perfusion pressure, decrease Intracranial Pressure, Cardiovascular monitoring, maintain hemodynamic stability using vasopressor, inotrope, and fluid balance, and special consideration of position and long surgical time. By carefully managing these perioperative challenges, we can improve outcomes for patients with significant comorbidities undergoing high-risk surgeries.
Co-Authors Adhy Candra, I Kadek Bayu Adinda Putra Pradhana Adistaya, Anak Agung Gde Agung Agus Eka Darwinata Amin, Yusuf Sidang Bayu Saputra, Ida Bagus Prema Satia Christopher Ryalino Cristy, Nadia Assecia Cynthia Dewi Sinardja D.H., Asterina Damayanti, Elok Dewa Ayu Mas Shintya Dewi Dharmika, Ida Ayu Gde Wahyudevi Farha, Nabilla Gusti Ayu Amalindasari Prabayastita Masta I Dewa Made Sukrama I Gusti Agung Gede Utara Hartawan I Gusti Agung Made Wibisana Kurniajaya, I Gusti Agung Made I Gusti Ngurah Mahaalit Aribawa I Ketut Sinardja I Ketut Suwiyoga I Made Agus Kresna Sucandra I Made Bakta I Made Gede Widnyana I Nyoman Arhya I Putu Agus Surya Panji I Wayan Aryabiantara, I Wayan I.W. Weta Jeanne, Bianca Kadek Agus Heryana Putra, Kadek Agus Kadek Dinda Pramadyanti Komang Ady Widayana Kurniyanta, I Putu Kusuma, Oscar Indra L.S. Ani Made Wiryana Mahaalit, I Gusti Ngurah N.W.A. Utami Nada, I Ketut Wibawa Nandaswari, Ni Made Nilam Ni Made Adi Tarini Ni Nengah Dwi Fatmawati Ni Nyoman Sri Budayanti Paskalis, Timothy Pita, Mora Lesmana Pontisomaya Parami Pratiwi, Made Sindy Astri Putu Agus Surya Panji Putu Kurniyanta Putu Pramana Suarjaya Saputra, Darmawan Jaya Sathya Deva, I Dewa Gde Satria Pinanditas S Srinami Dewi Sudjana, Ida Bagus Gde Tanggono, Aninda Tjahya Aryasa Tjokorda Gde Agung Senapathi Violentina, Gusti Ayu Dianti Wisnu Wardhana Xavier Leverve