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All Journal Medical and Health Science Journal Journal of International Public Health Journal of Multidisciplinary Research
Nuh, Yalta Hasanudin
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Religion Aerospace Engineering Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Health Professions Public Health Social Sciences

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Journal : Medical and Health Science Journal

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Anesthesia Management in Laparotomy of Gastric Perforation Peritonitis: A Case Report and Literature Review Nuh, Yalta Hasanudin; Dita, Diah Ayu Aguspa; Wirastari, Gayatri Ghea; Sahfitri, Feni Dwika
Jurnal Ilmu Kesehatan dan Kesehatan Vol 7 No 02 (2023): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v7i02.4795

Abstract

Gastric perforation has the potential to induce acute peritonitis, leading to intense pain and a significant mortality risk. A female patient, aged 67, presented with symptoms of intense abdominal pain affecting all regions of the abdomen and extending to the shoulder. The pain does not alleviate with rest and is aggravated by physical activity and coughing. The Chest X-ray examination revealed the presence of cardiomegaly, characterized by an enlarged heart and aortic elongation. The Abdomen X-ray examination revealed the presence of a pneumoperitoneum. Laparotomy may be conducted in individuals with gastric perforation to identify the pneumoperitoneum's underlying aetiology. The utilization of a concurrent administration of spinal anaesthesia (SA) and general anaesthesia (GA) demonstrates the effective reduction of hemodynamic impact during pneumoperitoneum while avoiding any associated adverse effects.
Co-Authors Agustin, Ria Diah Ayu Aguspa Dita Sahfitri, Feni Dwika Sulastri Sulastri Wirastari, Gayatri Ghea