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All Journal Open Access Indonesian Journal of Medical Reviews Journal of Anesthesiology and Clinical Research
Eko Setijanto
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience

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Intensive Management of Post Caesarean Section with Eclampsia: A Case Report Pratiaksa, Ardian; Eko Setijanto
Journal of Anesthesiology and Clinical Research Vol. 5 No. 3 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i3.568

Abstract

Introduction: Eclampsia, a severe form of pre-eclampsia characterized by high blood pressure and seizures, poses a significant threat to both maternal and fetal health. With a global incidence of 2-8% among pregnancies affected by pre-eclampsia, eklampsia remains a leading cause of maternal mortality, particularly in low-resource settings. Given the potential for serious complications associated with postpartum eklampsia, it is crucial for anesthesia teams to possess a comprehensive understanding of the condition's management and the specific considerations required in the postpartum setting. Case presentation: We report a 19 years old woman post caesarean section with eclampsia. The patient had a recurrent seizure on the first day at the ICU. After had an intensive therapy at the ICU the patient showed a clinically improvement and extubated on the second day. The case highlights the importance of a holistic and comprehensive approach to postpartum care in eklampsia patients. By addressing not only the immediate symptoms but also the underlying physiological and neurological derangements, the ICU team was able to effectively manage the patient's condition and facilitate her recovery. Conclusion: Postpartum care in the intensive care unit needs to be hollistic and comprehensive with the aim of not aggravating the patient's condition and worsening the patient's prognosis.
Anesthetic Management and Perioperative Care in Neonates with Esophageal Atresia: A Case Report Adithya, Krisna Tri; Eko Setijanto
Journal of Anesthesiology and Clinical Research Vol. 5 No. 3 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i3.590

Abstract

Introduction: Esophageal atresia is a congenital disorder that requires immediate surgical intervention. Careful anesthetic management and perioperative care are crucial for successful therapy in neonates with this condition. Case presentation: A 20-day-old male infant with esophageal atresia underwent anastomotic thoracotomy surgery. Premedication, induction, and maintenance of anesthesia were performed with a combination of Sevoflurane, Ketamine, and Fentanyl. Postoperatively, the baby was treated in the NICU with mechanical ventilation and antibiotic therapy. Conclusion: Comprehensive anesthetic management and perioperative care in neonates with esophageal atresia include prevention of aspiration, adequate ventilation, pain management, and close postoperative monitoring to ensure optimal outcomes.
Navigating the Triad of Trauma: A Case Report on Managing Concurrent Pulmonary Contusion, Traumatic Brain Injury, and Cervical Fracture in a Geriatric Patient Yasyfie Asykari; Septian Adi Permana; Eko Setijanto
Open Access Indonesian Journal of Medical Reviews Vol. 5 No. 5 (2025): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v5i5.771

Abstract

The management of geriatric patients with multiple severe injuries presents a formidable clinical challenge due to reduced physiological reserve and the complex interplay of competing therapeutic goals. This report details the case of a geriatric patient suffering from the triad of pulmonary contusion (PC), moderate traumatic brain injury (TBI), and an unstable cervical spine fracture, highlighting the intricate balance required in neuroprotective and lung-protective ventilatory strategies. A 68-year-old male was admitted following a 10-meter fall, sustaining a moderate TBI with a temporoparietal subdural hemorrhage, a complete C3 vertebral fracture, and significant bilateral pulmonary contusions. His hospital course was marked by acute respiratory distress and neurological deterioration, with a Glasgow Coma Scale (GCS) score of E3V4M5 and hypoxemia requiring intubation and mechanical ventilation in the intensive care unit (ICU). Management focused on the cautious application of positive end-expiratory pressure (PEEP) to improve oxygenation without exacerbating intracranial pressure (ICP), alongside strict cervical spine immobilization and neuro-monitoring. After eight days of complex critical care, the patient’s prolonged need for mechanical ventilation and significant sputum retention necessitated a percutaneous dilational tracheostomy (PDT) to facilitate respiratory weaning and improve pulmonary toilet. In conclusion, this case underscores the profound difficulty of managing concurrent lung and brain injuries in the context of cervical instability. The successful navigation of this trauma triad hinged on a highly individualized, multidisciplinary approach, with judicious ventilator management and timely procedural intervention like PDT being pivotal. It affirms the need for integrated care protocols that can dynamically balance competing organ-system priorities in complex geriatric trauma.
Co-Authors Adithya, Krisna Tri Pratiaksa, Ardian Septian Adi Permana Yasyfie Asykari