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Jurnal Neuroanestesi Indonesia

jni
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Published by Indonesian Society of Neuroanesthesia & Critical Care

ISSN : 20889674 EISSN : 24602302 DOI : https://doi.org/10.24244/jni

Core Subject : Health, Science, Education,

Biochemistry, Genetics & Molecular Biology Education Medicine & Pharmacology Neuroscience Public Health

Editor of the magazine Journal of Neuroanestesi Indonesia receives neuroscientific articles in the form of research reports, case reports, literature review, either clinically or to the biomolecular level, as well as letters to the editor. Manuscript under consideration that may be uploaded is a full text of article which has not been published in other national magazines. The manuscript which has been published in proceedings of scientific meetings is acceptable with written permission from the organizers. Our motto as written in orphanet: www.orpha.net is that medicine in progress, perhaps new knowledge, every patient is unique, perhaps the diagnostic is wrong, so that by reading JNI we will be faced with appropriate knowledge of the above motto. This journal is published every 4 months with 8-10 articles (February, June, October) by Indonesian Society of Neuroanesthesia & Critical Care (INA-SNACC). INA-SNACC is associtation of Neuroanesthesia Consultant Anesthesiology and Critical Care (SpAnKNA) and trainees who are following the NACC education. After becoming a Specialist Anesthesiology (SpAn), a SpAn will take another (two) years for NACC education and training in addition to learning from teachers in Indonesia KNA trainee receive education of teachers/ experts in the field of NACC from Singapore.

Arjuna Subject : Kedokteran - Anesthesiology and Pain Medicine

Articles 9 Documents

Search results for , issue "Vol 8, No 1 (2019)" : 9 Documents clear

Pengaruh Asam Traneksamat Intravena terhadap Jumlah Perdarahan Intraoperatif dan Kebutuhan Transfusi pada Operasi Meningioma Sutanto, Sigit; Bisri, Dewi Yulianti; Bisri, Tatang
Jurnal Neuroanestesi Indonesia Vol 8, No 1 (2019)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Latar Belakang dan Tujuan: Meningioma merupakan tumor otak yang berisiko tinggi terjadi perdarahan pada reseksi massa. Penelitian dengan rancangan double blind RCT dilakukan pada 40 subjek meningioma di RSUP Dr Hasan Sadikin Bandung dengan tujuan melihat pengaruh asam traneksamat (TXA) dalam mengurangi jumlah perdarahan intraoperatif dan kebutuhan transfusi. Subjek dan Metode: Subjek penelitian dibagi dua kelompok, kelompok A diberikan asam traneksamat intravena 20 mg/kg dalam NaCl 0,9% 100 mL dan kelompok B diberikan NaCl 0,9% 100 mL sebelum insisi. Data hemodinamik, jumlah cairan, jumlah transfusi dan jumlah perdarahan intraoperatif dicatat per jam. Dilakukan pemeriksaan kadar Hb, Ht dan faktor pembekuan pascaoperasi dan 24 jam pascaoperasi. Data hasil penelitian diuji secara statistik menggunakan uji t tidak berpasangan dan uji Mann-Whitney. Hasil: Perdarahan intraoperatif (1008,51327,192 vs 1347539,120 ml; p=0,021), kebutuhan pada transfusi packed red cell (PRC) intraoperatif (89,30152,970 ml vs 306,85224,631 ml; p=0,003), kebutuhan transfusi PRC 24 jam pasca operasi (88,50153,014 ml vs 212,00212,505 ml; p=0,028) pada kelompok A secara signifikan lebih kecil dari kelompok B.Simpulan: Asam traneksamat 20 mg/kg yang diberikan intravena sebelum insisi dapat mengurangi jumlah perdarahan intraoperatif dan kebutuhan transfusi pada operasi tumor otak suspek meningioma.Effects of Intravenous Tranexamic Acid on Blood Loss and Transfusion Requirements in Tumor Removal Surgery of Suspected MeningiomaBackground and objective: Meningiomas are highly vascular brain neoplasms that often associated with substantial blood loss. This experimental, double-blind RCT conducted in Dr. Hasan Sadikin Hospital, enrolled 40 subjects with intracranial meningioma underwent surgical excision. The objective of this study is to see the effect of tranexamic acid (TXA) in reducing bleeding and transfusion requirementsSubjects and Method: Subjects divided into two groups, group A received tranexamic acid 20 mg/kg body weight in 100 mL normal saline, and group B received 100 mL normal saline before incision. Intraoperative hemodynamics, amount of fluid, transfusions, and blood loss were recorded hourly. Hemoglobin, hematocrit, and coagulation factors measured in postoperative, and subjects were followed up for the first 24 hours to record transfusion requirements and laboratorium work up. We analyzed the data using t-test and Mann-Whitney test. Results: Intraoperative blood loss (1008,51327,192 vs 1347539,120 ml; p=0,021), intraoperative packed red cell (PRC) transfusion requirement (89,30152,970 ml vs 306,85224,631 ml, p=0,003), PRC transfusion requirement in first 24 hours postoperative (88,50153,014 ml vs 212,00212,505 ml, p=0,028) in group A significantly less than group B Conclusions: Administration of intravenous tranexamic acid 20 mg/kg before incision can reduce intraoperative blood loss and transfusion requirement in patients underwent surgical excision of meningioma

Cardiac Arrest Intra Operatif Pada Neuroanestesi Pediatrik Prihatno, MM Rudi; Manulima, Teguh
Jurnal Neuroanestesi Indonesia Vol 8, No 1 (2019)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Henti jantung (cardiac arrest) intra operatif merupakan penyulit yang paling menakutkan selama pembedahan berlangsung, terutama pada kasus-kasus bedah saraf pediatrik, dikarenakan akan berpengaruh pada luaran operasi dan dampak jangka panjang yang ditimbulkannya. Resiko yang lebih berat adalah kematian di meja operasi. Seorang anak perempuan 10 bulan dibawa ke RSUD Prof. Dr. Margono Soekarjo oleh orangtuanya dengan keluhan kelemahan anggota gerak sebelah kiri sejak 1 bulan sebelumnya. Pasien rujukan dari salahsatu rumahsakit daerah. Setelah dilakukan tindakan pemeriksaan penunjang, maka disimpulkan dengan diagnosa sementara primitive neuroectoderm tumor (PNET). Pasien direncanakan untuk dilakukan tindakan opeasi bedah saraf elektif. Tindakan anestesi bedah saraf berlangsung selama 180 menit. Selama berlangsungnya operasi pasien mengalami henti jantung (cardiac arrest) pada menit ke-120. Kemudian dilakukan tindakan resusitasi kardiopulmoner. Pasien merespon resusitasi dengan baik. Pasien pasca operasi dibawa ke ruang perawatan intensif. Pasien dirawat di ruang perawatan intensif selama 6 hari, dirawat di ruang bedah saraf selama 4 hari, dan dipulangkan pada hari ke-10 pasca operasi.Intraoperative Cardiac Arrest in Pediatric NeuroanesthesiaIntra-operative cardiac arrest is the most frightening complication during surgery, especially in cases of pediatric neurosurgery, because it will affect the outcome of the operation and the long-term effects it causes. A more severe risk is death at the operating table. A 10-month-old girl was brought to the RSUD Prof. Dr. Margono Soekarjo by his parents with complaints of weakness in the left limb since 1 month before. Patient referral from one regional hospital. After carrying out investigative actions, it is concluded with a provisional diagnosis of primitive neuroectoderm tumor (PNET). Patients are planned for elective neurosurgery surgery. The neurosurgical anesthetic procedure lasts 180 minutes. During the operation, the patient experiences cardiac arrest (cardiac arrest) in the 120th minute. Then cardiopulmonary resuscitation is performed. Patients respond to resuscitation. Postoperative taken to intensive care. The patient was treated in the intensive care room for 6 days, was admitted to the neurosurgical room for 4 days, and sent home on the 10th day postoperatively.

Efektivitas Body Surface Area dibanding Predicted Body Weight dalam Menentukan Volume Semenit untuk Mencapai Target PaCO2 pada Operasi Tumor Otak Nanang Nurofik; Prananda Surya Airlangga; Bambang Pujo Semedi; Arie Utariani; Elizeus Hanindito; Hamzah Hamzah
Jurnal Neuroanestesi Indonesia Vol 8, No 1 (2019)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Latar Belakang dan Tujuan: Manajemen neuroanestesi pada operasi tumor otak bertujuan untuk mencegah terjadinya cedera otak sekunder dan memberikan lapangan operasi yang baik. Hal ini dapat dicapai melalui brain relaxation therapy. Penelitian ini bertujuan menganalisis efektifitas Body Surface Area (BSA) dan Predicted Body Weigh (PBW) untuk menentukan volume semenit dalam mencapai target PaCO2 pada pasien yange menjalani operasi tumor otak.Subjek dan Metode: Penelitian analitik observasional dengan desain cross-sectional melibatkan 31 pasien yang menjalani operasi tumor otak di RSUD Dr Soetomo Surabaya. Pasien yang memenuhi kriteria, dilakukan pengukuran tinggi badan dan berat badan, kemudian dibagi dalam 2 kelompok BSA dan PBW. Kelompok BSA mendapat volume semenit 4xBSA (laki-laki) dan 3.5xBSA (perempuan). Kelompok PBW mendapat volume semenit 100mL/kgBB. Tiga puluh menit setelah pengaturan ventilasi mekanik, dilakukan pemeriksaan analisa gas darah untuk menilai PaCO2.Hasil: Penentuan volume semenit menggunakan BSA menghasilkan volume yang lebih besar dibanding PBW pada pasien normal hingga obesitas.Penggunaan BSA dibanding PBW secara signifikan memiliki PaCO2 lebih rendah (33.55±3.43: 39.29±3.32 mmHg) dengan nilai p=0.0001. Simpulan: Penggunaan BSA dalam menentukan volume semenit efektif dalam mencapai target PaCO2 pada pasien yang menjalani operasi tumor otak. Effectiveness of Body Surface Area over Predicted Body Weightto determine Minute Volume to achieve PaCO2 Target in Brain Tumor SurgeryBackground and Objective: Neuroanesthesia management in brain tumor surgery aims to prevent secondary brain injury and provide a good operating field. This goal can be achieved by brain relaxation therapy .This study aims to analyze the effectiveness of Body Surface Area (BSA ) and Predicted Body Weigh (PBW) in determining minute volume to achieve PaCO2 target in brain tumor surgery patient.Subject and Methods: This was an observational analytic study with a cross-sectional approach. Thirty patient with brain tumor surgery were enrolled in this study. Patient who met the inclusions criteria was measured for height and weight then divided into two groups of BSA and PBW. The BSA group gets a minute volume 4xBSA for men and 3.5xBSA for women. The PBW group received minute volume 100mL / kg. Thirty minutes after adjusting mechanical ventilation, a blood gas analysis was examined to measure PaCO2 value.Results: Minute volume which is predicted by BSA had a greater volume than PBW in normal to obese patient. Body surface area is statistically significant compared to PBW in reducing PaCO2 average (33.55±3.43: 39.29±3.32 mmHg) with p value = 0.0001.Conclusion: Body surface areaas more effective to determine minute volume compare to PBW to achievePaCO2 target in brain tumor surgery patient.

Tatalaksana Jalan Napas pada Pasien dengan Fraktur Listesis Servikal Tidak Stabil Rahmatisa, Dimas; Sudadi, Sudadi; Suryono, Bambang
Jurnal Neuroanestesi Indonesia Vol 8, No 1 (2019)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Cedera tulang belakang leher/cervical spine injury (CSI) tetap menjadi penyebab utama morbiditas dan mortalitas di negara maju. Sekitar 12.000 kasus baru cedera tulang belakang terjadi di Amerika Serikat setiap tahunnya. Kebanyakan dari cedera tersebut (55%) merupakan cedera servikal, sedangkan 15% merupakan cedera yang berhubungan dengan torakolumbal. Studi epidemiologis baru, menunjukkan bahwa cedera tulang belakang leher terjadi sekitar 1,8% hingga 4% pada kasus cedera trauma tumpul dan menyebabkan sekitar 6.000 kematian dan 5.000 kasus baru quadriplegia per tahun. Kasus laki-laki usia 55 tahun dengan riwayat trauma leher 5 bulan sebelum masuk rumah sakit. Pemeriksaan fisik didapatkan adanya tetraparese dan nyeri hebat pada daerah leher, terutama saat ekstensi kepala. Dari pemeriksaan laboratorium tidak didapatkan kelainan, dari pemeriksaan magnetic resonance imaging (MRI) leher didapatkan spondilolisthesis C6-7 berat sehingga korpus C6 di anterior C7. Dilakukan anestesia umum, dengan manajemen jalan napas intubasi manual in-line, serta menggunakan video laringoskop. Intubasi dilakukan 2 kali percobaan karena kesulitan visualisasi pita suara. Operasi berlangsung 10 jam, pasien kemudian dirawat di ICU selama 1 hari sebelum pindah ruang rawat biasa.Airway Management in Patient with Unstable Listhesis Cervical FractureCervical spine injury (CSI) remains a major cause of morbidity and mortality in developed countries. About 12,000 new cases of spinal cord injury occur in the United States each year. Most of these injuries (55%) are cervical injuries, while 15% are torakoumbal-related injuries. New epidemiological studies show that cervical spine injuries occur in about 1.8% to 4% in blunt trauma cases and cause around 6,000 deaths and 5,000 new cases of quadriplegia per year. The case of a 55-year-old male with a history of neck trauma 5 months before being hospitalized. Physical examination is found for tetraparese and severe pain in the neck area, especially during head extension. From the laboratory examination no abnormalities were found, from the magnetic resonance imaging (MRI) examination of the neck obtained severe C6-7 spondylolisthesis so that corpus C6 was anterior to C7. General anesthesia, with manual in-line intubation airway management with using a video laryngoscope. Intubation was carried out 2 times because of difficulty in visualizing the vocal cords. The operation lasted 10 hours, the patient was then admitted to the ICU for one day, then moved to ward.

Pertimbangan Anestesia untuk Pasien dengan Deep Brain Stimulator Tertanam yang Menjalani Prosedur Diagnostik dan Pembedahan Santosa, Dhania A; Rasman, Marsudi; Hamzah, Hamzah; Saleh, Siti Chasnak
Jurnal Neuroanestesi Indonesia Vol 8, No 1 (2019)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Deep brain stimulation (DBS) akhir-akhir ini sering digunakan untuk penyakit Parkinson dan kelainan pergerakan lainnya. DBS sendiri merupakan suatu stimulator yang ditanam pada nukleus dalam di otak dan disambungkan dengan pembangkit pulsasi yang ditanam di bawah klavikula. Sebagai konsekuensinya, ahli anestesiologi akan lebih sering menghadapi pasien dengan sistem DBS tertanam dalam tubuh mereka untuk menjalani prosedur diagnostik dan pembedahan. Anestesia pada pasien-pasien ini memerlukan perhatian khusus karena adanya potensi interferensi antara neurostimulator dan alat-alat lainnya yang dapat menbahayakan pasien. Oleh karenanya penting bagi ahli anestesi untuk memahami hal-hal khusus pada pasien dengan deep brain stimulator tertanam yang menjalani tindakan diagnostic maupun pembedahan. Panduan mengenai hal-hal yang perlu diperhatikan oleh ahli anestesi pada pasien seperti ini masih sangat kurang dan masih sangat bergantung pada laporan kasus atau panduan yang berasal dari pabrik pembuatnya. Tujuan penulisan artikel ini adalah untuk memberikan gambaran singkat mengenai sistem DBS dan penanganan anestesi pada pasien dengan alat DBS tertanam.Anesthesia Considerations in Patients with Implanted Deep Brain Stimulator undergoing Diagnostic and Surgery ProceduresDeep brain stimulation (DBS) has become an increasingly common treatment for Parkinsons disease and other movement disorders. DBS consist of implanted stimulator at deep nuclei of the brain and, connected to a pulse generated which is implanted under clavicle. Consequently, anesthesiologists will increasingly encounter patients with implanted DBS system facing diagnostic and surgery procedures. Anesthesia management in such patients requires specific considerations due to the possible interference between neurostimulator and other devices which are potentially harmful to the patient. Therefore, it is important for anesthesiologists to understand specific issues in patients with implanted deep brain stimulator undergoing surgery and other diagnostic procedures. Guideline on these specific issues is very limited and highly relies on case report and manufacturers manual. The purpose of this review is to provide brief overview on DBS system and anesthesia considerations in patients with implanted DBS

Manajemen Anestesi untuk Tindakan Vp-Shunt pada Bayi Sindrom Crouzon dengan Hidrosefalus Bangun, Chrismas Gideon; Mafiana, Rose; Gaus, Syafruddin
Jurnal Neuroanestesi Indonesia Vol 8, No 1 (2019)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Sindrom Crouzon adalah sindrom dominan autosom yang ditandai dengan trias yaitu deformitas tengkorak, anomali wajah, dan eksoftalmus. Sindrom Crouzon memiliki prevalensi 1: 60.000 kelahiran. Sindrom ini disebabkan sinostosis dini sutura koronal dan sagital yang mengakibatkan dismorfisme wajah. Pada anestesi pasien dengan sindrom Crouzon, harus dilakukan langkah-langkah untuk antisipasi dan persiapan penanganan jalan napas yang sulit. Pada kasus ini, seorang bayi 5 bulan dengan sindrom Crouzon datang dengan keluhan kepala membesar sejak 2 bulan sebelum masuk rumah sakit. Dari CT-scan didapatkan hidrosefalus, dan dilakukan tindakan VP-shunt. Telah diantisipasi adanya kesulitan intubasi, maka dilakukan persiapan alat-alat termasuk bougie anak. Bougie tersebut kemudian ternyata sangat berguna saat dilakukan intubasi ulang karena ketidaksesuaian ukuran tube endotrakeal. Operasi VP-shunt berjalan dengan baik, pasca operasi dan anestesi pasien sadar baik, respirasi dan hemodinamik stabil dan kemudian pindah ke ruang rawat biasa. Dalam penanganan pasien ini, antisipasi, peralatan difficult airway yang lengkap, rencana alternatif, serta pendekatan multidisiplin sangat diperlukan.Anaesthetic Management for VP-Shunt in Baby Crouzon syndrome with HydrocephalusCrouzon syndrome is an autosomal dominant syndrome characterized by triad of skull deformity, facial anomalies, and exophthalmos. Crouzon syndrome has a prevalence of 1: 60,000 births. This syndrome is characterized by early synostosis of coronal and sagittal sutures which leads to facial dysmorphism. In Crouzon syndrome, steps must be taken to anticipate and prepare for difficult airway handling.In this case, a 5-month-old baby with Crouzon syndrome presents with an enlarged head complaint 2 months before being hospitalized. CT scan showed hydrocephalus was, and VP-shunt action was planned. It is anticipated that there will be difficulty in intubation, so preparations for tools including child bougie were made. Bougie then turned out to be very useful because it had to be re-intubated because of the incompatibility of the size of the endotracheal tube. VP-shunt surgery works well, surgery and anesthesia were uneventful, then patient moved to the ward. Anticipation, complete difficult airway equipment and alternative plans, as well as a multidisciplinary approach are needed in handling these patients.

Komplikasi Mual Muntah Pascaoperasi Bedah Saraf Rahmatisa, Dimas; Rasman, Marsudi; Saleh, Siti Chasnak
Jurnal Neuroanestesi Indonesia Vol 8, No 1 (2019)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Mual, dan muntah adalah termasuk diantara keluhan-keluhan paling sering terjadi, dan dapat timbul pada kasus anestesia umum, regional, atau lokal. Insiden muntah sekitar 30%, kejadian mual adalah sekitar 50%, dan sebagian dari pasien berisiko tinggi, angka postoperative nausea and vomitting (PONV) bisa mencapai 80%. Faktor risiko PONV paling besar adalah jenis kelamin wanita, diikuti oleh riwayat motion sickness dan usia, lalu penggunaan anestesia inhalasi, durasi anestesia, penggunaan opioid pasca operasi dan terakhir penggunaan N2O. Pada kasus operasi bedah saraf, khusunya pada pengangkatan tumor, terdapat beberapa bahaya yang dapat terjadi bila PONV ini tidak ditangani dengan baik. Pada pasien bedah saraf, secara umum, kita harus menjaga agar tekanan intra kranial tetap dalam batas normal, sehingga aliran darah otak, dan tekanan perfusi otak dapat terjaga dengan baik. Jika terjadi PONV, maka tekanan intraabdomen akan meningkat, dan tentunya akan juga berpengaruh kepada kenaikan tekanan intrakranial. Disamping itu, pasien pasca pengangkatan tumor, akan rentan terhadap terjadinya perdarahan ulang yang tadinya sudah berhenti saat selesai operasi. Perdarahan dapat terjadi pada tumor bed dan dapat menyebabkan komplikasi yang fatal. Dari berbagai penelitian mengenai PONV pada operasi bedah saraf, faktor lokasi operasi tidak terlalu banyak berpengaruh. Operasi infratentorial memiliki angka PONV yang lebih tinggi, dihubungkan dengan lebih lamanya durasi operasi.Postoperative Nausea and Vomiting (PONV) Complication after NeurosurgeryNausea, and vomiting are among the most common complaints, and may occur in the case of general, regional, or local anesthesia. The incidence of vomiting is about 30%, the incidence of nausea is about 50%, and some of the patients are at high risk, Postoperative nausea and vomitting (PONV) rate can reach 80%. The strongest predictor of PONV is female gender, followed by history of motion sickness, age, inhalation anesthetic drugs, postoperative opioid, and using of nitrous oxide. In neurosurgery patients, in general, we must keep the intra-cranial pressure within normal limits, so that the cerebral blood flow, and the cereberal perfussion pressure can be well preserved. If there is PONV, the intraabdominal pressure will increase, and will certainly also affect the intracranial pressure. In addition, patients post-tumor removal, will be vulnerable to the occurrence of re-bleeding that had been stopped when completed surgery. Bleeding can occur in tumor beds and can cause fatal complications. According to various studies on PONV in neurosurgical surgery, the location factor of the surgery did not have much effect. Infratentorial surgery has a higher PONV number, associated with longer duration of operation.

Perlukah Central Venous Cathether (CVC) untuk Pengelolaan Anestesi Reseksi Tumor Pineal Body dengan Posisi Parkbench? Kulsum, Kulsum; Jasa, Zafrullah Kany; Jamal, Fachrul
Jurnal Neuroanestesi Indonesia Vol 8, No 1 (2019)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Tumor pineal body di Indonesia termasuk kasus yang jarang dengan insidens 10% dari seluruh tumor otak. Reseksi tumor otak bisa dilakukan dengan berbagai posisi tergantung letak tumor, operator dan fasilitas yang tersedia. Perdarahan pada kasus tumor pineal body sekitar 510% sehingga pemasangan Central Venous Catheter (CVC) tergantung kebutuhan saat operasi. Tujuan laporan kasus ini untuk mengetahui apakah harus dipasang CVC pada kasus tumor otak. Pengelolaan operasi reseksi tumor pineal body dilakukan dengan posisi parkbench tanpa dipasang alat CVC dengan manajemen neuroanestesi. Seorang anak laki laki 10 tahun, berat badan 21 kg mengeluh nyeri kepala hebat, mual muntah, kejang kejang, mata menonjol, pandangan kabur, badan spastik telah dilakukan ventriculo peritoneal shunt (VP-Shunt) 3 bulan yang lalu. Premedikasi menggunakan midazolam dan fentanyl. Induksi menggunakan propofol dan ada penambahan saat laringoskopi dan intubasi. Fasilitas intubasi dengan atracurium. Pemeliharaan anestesi dengan O2+ udara+ sevofluran dengan fraksi oksigen 50% + Propofol dan atracurium secara kontinyu. Monitoring tanda vital (tekanan darah, denyut jantung, frekuensi nafas, saturasi oksigen, jumlah dan warna urin) serta end tidal CO2. Hasil reseksi tumor pineal body selama 4 jam hemodinamik relatif stabil, tekanan darah sistolik berkisar 9010 mmHg, tekanan darah diastolik 40-60 mmHg. Pengelolaan kasus reseksi tumor pineal body dengan posisi parkbench tanpa pemasangan CVC tetap masih bisa dilakukan dengan syarat monitoring ketat dan atasi segera setiap permasalahan yang terjadi.Does it Need CVC for the Management of The Pineal Body Tumor with Parkbench Position?Pineal body tumors in Indonesia is a rare cases with 10% incidence of all brain tumors. Brain tumor resection can be done with various positions depending on the location of tumors, operators and facilities available. Bleeding in case of pineal body tumor is about 5-10% so the installation of Central Venous Catheter (CVC) depends on the need for operation. The purpose of this case report is to determine whether CVC should be installed in cases of brain tumors. The management of pineal body tumor resection surgery is done by parkbench position without CVC with neuroanesthesia management. A 10-year-old boy weighing 21 kg complained of severe headache, nausea, vomiting, convulsions, prominent eyes, blurred vision, spastic body had been done Ventriculo Peritoneal Shunt (VP Shunt) 3 months ago. Premedication using midazolam and fentanyl. Induction uses propofol and there is addition in laryngoscopy and intubation. Intubation facility with atracurium. Maintenance of anesthesia with O2 + water + sevofluran with 50% + oxygen fraction + Propofol and atracurium continuously. Monitoring of vital signs (blood pressure, heart rate, breath frequency, oxygen saturation, amount and color of urine) and end tidal CO2. Resection of pineal body tumor for 4 hours hemodynamically relatively stable, systolic blood pressure ranged from 90-110 mmHg, blood pressure diastolic 40-60 mmHg. Management of pineal body tumor resection case with parkbench position without CVC installation still can be done with tight monitoring condition and solve immediately every problem that happened.

Kemoterapi pada Pasien Operasi Tumor Otak Metastasis: Apa Implikasi Anestesinya? Putri, Dini Handayani; Bisri, Dewi Yulianti; Rasman, Marsudi; Saleh, Siti Chasnak
Jurnal Neuroanestesi Indonesia Vol 8, No 1 (2019)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Tumor otak metastasis adalah salah satu jenis keganasan intrakranial yang paling umum di temukan pada dewasa. Di Amerika Serikat sendiri tumor otak metastasis mencapai 150.000 170.000 kasus pertahun. Lebih dari 50% tumor otak metastasis terletak di supratentorial, dapat memberikan gejala neurologis, sangat bergantung akan jumlah lesi, ukuran lesi, serta ukuran dari edema vasogenik yang terjadi dan menekan jaringan otak sekitarnya. Lima sumber paling umum dari tumor otak metastasis adalah payudara, colorectal, ginjal, jantung dan melanoma. Dari keseluruhan pasien dengan tumor otak akibat metastasis 8 14% akan menjalani operasi pengangkatan tumor dengan beberapa pertimbangan seperti didapatkan tanda tanda kegawatdaruratan neurologis, ukuran massa yang besar, jenis tumor primer, grade tumor, lokasi tumor, resiko, komplikasi operasi dan Karnofsky Performance Score (KPS). Pasien tumor otak metastasis tentunya datang dengan dengan riwayat tumor ganas pada organ tubuh lainnya dan telah menjalani kemoterapi sebagai terapi. Pasien dengan riwayat kemoterapi memerlukan perhatian khusus karena selain membunuh sel kanker, kemoterapi dapat memberi efek toksik pada sistem organ, baik efek jangka pendek maupun efek jangka panjang, sehingga di perlukaan tatalaksana perioperatif yang seksama pada operasi tumor otak metastasis agar didapatkan hasil luaran yang baik.Chemotherapy In Patients with Metastatic Brain Tumor Surgery: What are the Implications of Anesthesia?Metastatic brain tumor is one of the most common types of intracranial malignancies found in adults. In the United States alone metastatic brain tumors attain. 150,000 - 170,000 cases per year. Metastatic brain tumor of more than 50% is located in the supratentorial, may provide neurological symptoms, highly dependent on the number of lesions, the size of the lesion, as well as the size of the vasogenic edema that occurs and suppress the surrounding brain tissue. The five most common sources of metastatic brain tumors are breast, colorectal, kidney heart and melanoma. Of all patients with brain tumors due to metastasis 8 to 14% will undergo tumor removal surgery with some considerations such as the emergence of signs of neurological emergency, large mass size, type of primary tumor, tumor grade, tumor location, risk complication of surgery, and Karnofsky performance score (KPS). Patients with metastatic brain tumors certainly come with a history of malignant tumors in other organs and have undergone chemotherapy as therapy. Patients with a history of chemotherapy require special attention because in addition to killing cancer cells, chemotherapy can have a toxic effect on the organ system, both short-term and long-term effects, so a careful perioperatif treatment in patients with brain tumor metastasis surgery is mandatory in order to obtain good results.

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name
Agni Susanti

Contact Email
jurnalneuroanestesi@gmail.com

Phone
+6287722631615

Journal Mail Official
jni@inasnacc.org

Editorial Address
Jl. Prof. Eijkman No. 38 Bandung 40161, Indonesia Lt 4 Ruang JNI

Location
,

INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Agni Susanti

Contact Email jurnalneuroanestesi@gmail.com

Phone +6287722631615

Journal Mail Official jni@inasnacc.org

Editorial Address Jl. Prof. Eijkman No. 38 Bandung 40161, Indonesia Lt 4 Ruang JNI

Location , INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Agni Susanti

Contact Email
jurnalneuroanestesi@gmail.com

Phone
+6287722631615

Journal Mail Official
jni@inasnacc.org

Editorial Address
Jl. Prof. Eijkman No. 38 Bandung 40161, Indonesia Lt 4 Ruang JNI

Location
,

INDONESIA