Article Per Year (5 Year)
p-Index From 2021 - 2026
0.408
P-Index
This Author published in this journals
All Journal Jurnal Neuroanestesi Indonesia Journal of Medicine and Health
Permana, Padma
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Education Medicine & Pharmacology Neuroscience Public Health

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

 1 
Electrocardiographic Changes after General Anaesthesia Induction in a Patient with Subarachnoid Haemorrhage and Thyroid Heart Disease: A Case Report Sanjaya, Dewa NGD; Permana, Padma; Satyarsa, Agung BS; Wardhana, Dewa PW
Journal of Medicine and Health Vol 7 No 2 (2025)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v7i2.11506

Abstract

Electrocardiographic (ECG) abnormalities are commonly observed in patients with subarachnoid hemorrhage (SAH) and patients and are linked to worse outcomes. This case report documents the rapid normalization of severe ECG abnormalities following general anesthesia induction in a high-risk SAH patient with hyperthyroid heart disease. We report an 81-year-old woman with Fisher grade IV SAH and hyperthyroidism-associated cardiomyopathy who presented obtunded (GCS 7) with refractory atrial fibrillation at 116 bpm, diffuse T-wave inversions, and elevated troponin I. Following a multidisciplinary discussion, an External Ventricular Drain (EVD) was placed under general anesthesia using fentanyl, propofol, and rocuronium. This resulted in the immediate restoration of sinus rhythm, resolution of repolarization changes, and stabilization of blood pressure. Despite comprehensive ICU management—including analgesia, sedation, osmotherapy, steroids, and diuretics—the patient’s condition deteriorated within 24 hours, developing refractory intracranial hypertension and leading to death. This case highlights the autonomic-modulating and antiarrhythmic properties of anaesthetic agents in SAH-related neurocardiogenic dysfunction and underscores the need for further research into optimal anaesthesia strategies and patient outcomes.
Mini-Craniectomy for Traumatic for Posterior Fossa Acute Liquid Epidural Hematomas in Paediatric Patient: A Case Report Permana, Padma; Satyarsa, Agung Bagus Sista; Wardhana, Dewa Putu Wisnu
Jurnal Neuroanestesi Indonesia Vol 14, No 3 (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.v14i3.697

Abstract

Posterior fossa epidural hematoma (PFEDH) is a rare condition, accounting for only 0.1-0.3% of all traumatic brain injuries. Patients can rapidly deteriorate due to brainstem compression caused by bleeding in the posterior cranial fossa. Timely surgical intervention is critical, but currently, there is no consensus on the surgical indication and technical approach for pediatric PFEDH. Case Presentation: A five-year-old boy presented with occipital trauma, headache, vomiting, and altered consciousness after a fall from a 1-meter height. Primary survey was clear with a Glasgow Coma Scale (GCS) score of E3M6V4 and slow pupillary reflexes while secondary examination revealed a 1x2 cm cephalhematoma over the right posterior fossa region. Head CT scan revealed a posterior fossa liquid epidural hematoma measuring 5.4 x 2.2 x 4cm with cerebellar displacement. The patient underwent a mini-craniectomy and recovered with a relatively short operative duration, minimal blood loss, and a short hospital stay without neurological deficits. Mini-craniectomy emerges as a viable and promising alternative procedure in the management of carefully selected pediatric PFEDH cases, particularly those that are liquid or of moderate volume, allowing for efficient evacuation with minimal surgical morbidity with a good prognostic outcome
Co-Authors Agung Bagus S. Satyarsa Dewa Putu Wisnu Wardhana Sanjaya, Dewa NGD Satyarsa, Agung BS Wardhana, Dewa PW