Garuda - Garba Rujukan Digital

Article Per Year (5 Year)

All

Jurnal Neuroanestesi Indonesia

jni
Website

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 363 Documents

21 22 23 24 25

Korelasi Skor Glasgow Coma Scale (GCS) pada Cedera Otak Traumatik Berat dengan Kejadian dan Derajat Acute Respiratory Distress Syndrome (ARDS) Junaidi, Agus; Suwarman, S; Bisri, Tatang
Jurnal Neuroanestesi Indonesia Vol 5, No 2 (2016)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Acute respiratory distress syndrome (ARDS) merupakan salah satu komplikasi dari cedera otak traumatik (COT) berat, dapat disebabkan karena neurogenic pulmonary edema (NPE), pneumonia, aspirasi, dan emboli paru. Penelitian ini untuk mengetahui korelasi skor GCS pada cedera otak traumatik berat dengan kejadian dan derajat ARDS. Penelitian observasional prospektif cross sectional pada 32 orang pasien COT derajat berat di rumah sakit Dr. Hasan Sadikin Bandung sejak Mei 2015 sampai September 2015. Pengambilan data dilakukan secara consecutive sampling. Parameter yang dicatat dalam penelitian ini antara lain usia, jenis kelamin, berat badan, GCS, rentang waktu, diagnosis, kejadian ARDS, dan derajat ARDS. Analisis korelasi linear dua variabel dihitung berdasarkan analisis korelasi Spearman dan korelasi ETA. Hasil penelitian menunjukkan adanya korelasi antara skor GCS pada COT berat dengan kejadian ARDS dengan kekuatan korelasi searah, moderat, (r=0,402), bermakna (p0.05) dan derajat beratnya ARDS dengan kekuatan korelasi searah, kecil (r=0,389), bermakna (p0,05). Simpulan dari penelitian ini adalah semakin rendah skor GCS pada COT berat maka akan semakin besar kejadian ARDS dan semakin berat derajat ARDS.Correlation Glasgow Coma Scale (GCS) Score on Severe Head Injury with the Insidence and Degree of Acute Respiratory Distress Syndrome (ARDS)Acute respiratory distress syndrome (ARDS) is one of the complications of severe traumatic brain injury (TBI), it can be caused by neurogenic pulmonary edema (NPE), pneumonia, aspiration, and pulmonary embolism. This study was determine the correlation glasgow coma scale score on severe head injury with insidence and degree of acute respiratory distress syndrome. This study was using prospective observational cross-sectional method in 32 patients with severe TBI at Dr. Hasan Sadikin General Hospital Bandung on May 2015 untill September 2015. Data collection was performed by consecutive sampling. Parameters were recorded in this study include age, gender, weight, GCS, time scales, diagnosis, incidence and degrees of ARDS. Linear correlation analysis was calculated based on two variables Spearman correlation analysis and correlation ETA. The results showed a correlation between GCS score on severe COT with the incidence of ARDS with the strength of the correlation moderate (r=0.402), significantly (p0.05), one direction and degrees of ARDS with the strength of the correlation small (r=0.389), significantly (p0.05), one direction. The conclusions of this study is the lower the GCS score on severe COT will lead to greater the incidence and the degree of ARDS.

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.

Korelasi antara Nilai S100-Beta Pre dan Post Kraniotomi Evakuasi Perdarahan Intraserebral Spontan dengan Luaran Adam, Achmad; Ferry, Bilzardy; Atman, Dhira
Jurnal Neuroanestesi Indonesia Vol 6, No 1 (2017)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Latar Belakang dan Tujuan: Perdarahan intraserebral/Intracerebral hemorrhage (ICH) spontan ialah penyakit luaran bervariasi yang cenderung fatal dan berbiaya tinggi. S100B ialah enzim yang dapat dinilai pada serum darah saat sel otak cedera dengan biaya lebih rendah dibanding CT-Scan kepala. Penelitian ini mencari korelasi S100B dengan luaran ICH spontan. Prediksi dini luaran buruk pada masa perawatan postoperatif akan mempermudah tenaga medis dan keluarga memutuskan terapi lebih lanjut. Subjek dan Metode: Penelitian cross sectional ini mencari korelasi dengan pengumpulan data prospektif consecutive sampling pada 40 pasien ICH spontan yang dilakukan kraniotomi evakuasi di bagian bedah saraf RSUP Hasan Sadikin Bandung periode JanuariJuli 2016.Hasil: Pasien ICH spontan menunjukkan korelasi positif signifikan S100B preoperatif dan postoperatif dengan mortalitas. Risiko relatif ICH spontan dengan S100B preoperatif 0,220 ug/L berpeluang meninggal 3,157 kali lebih besar dan S100B postoperatif 0,225 ug/L berpeluang meninggal 5,405 kali. Ada korelasi negatif signifikan antara S100B preoperatif dan postoperatif dengan Glasgow Outcome Score (GOS). Ada korelasi positif signifikan antara S100B preoperatif dan postoperatif dengan volume ICH. Tidak ada perbedaan signifikan antara nilai S100B preoperatif dan postoperatif. Simpulan: Nilai serum S100B pre dan post kraniotomi evakuasi ICH spontan berkorelasi dengan luaran mortalitas dan GOS. Nilai S100B postoperatif 0,225 ug/L dapat membantu memutuskan terapi lanjut post kraniotomi.The Correlation between S-100 Beta Level at Pre and Post Craniotomy Evacuation Spontaneous Intracerebral Hemorrhage with OutcomeBackground and Objective: Spontaneous intracerebral hemorrhage (ICH) is a disease with diverse outcome which tends to be fatal and costly. S100B is a measurable enzyme from the blood serum when astrocytes are damaged. S100B has less cost compared with head CT-Scan. This study used S100B to predict spontaneous ICH outcome. Early post operative prediction of poor outcome would help in deciding further therapy. Subject and Method: This is a cross sectional study to find a correlation between variables by collecting prospective data with consecutive sampling of 40 inpatient spontaneous ICH subjects and performed craniotomy evacuation at Hasan Sadikin hospital neurosurgery department during January-July 2016 period. Result: Spontaneous ICH patients demonstrated significant positive correlation between preoperative and postoperative S100B levels with mortality. Relative risk of spontaneous ICH with 0.220 ug/L preoperative S100B level had 3.157 higher death risk and 0.225 ug/L postoperative S100B level had 5.405 higher death risk. There was significant negative correlation between preoperative and postoperative S100B levels with ICH volume. There was no significant difference between preoperative and postoperative S100B levels. Conclusion: S100B serum levels of pre and post craniotomy evacuation of spontaneous ICH patients had correlations between mortality and GOS outcome. Postoperative S100B level 0.225 can deciding further therapy.

Tatalaksana Anestesi pada Laminektomi Komplek karena Hernia Nukleus Pulposus L15 Roosiati, Betty
Jurnal Neuroanestesi Indonesia Vol 2, No 2 (2013)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Hernia nukleus pulposus (HNP) lumbalis sering terjadi, dengan angka kejadian 2% dari populasi umum. Skiatika yang berasal HNP lumbal sering menimbulkan nyeri radikular dari kaki pada populasi pekerja dewasa. Pengaturan posisi pasien, posisi prone, selain untuk mendapatkan akses yang optimal untuk ahli bedah, dapat mempengaruhi waktu pulih, morbiditas dan mortalitas. Umumnya pasien geriatri lebih sensitif terhadap anestetika. Untuk mendapatkan efek klinik yang diharapkan pada orang tua diperlukan obat-obatan lebih sedikit, dan efeknya sering memanjang. Secara umum, operasi pada pasien geriatri, harus didapatkan pemulihan yang cepat dan hindari penurunan fungsi organ. Wanita 61 tahun mengalami nyeri punggung bawah dan parestesia. Kesadaran GCS 15, berat badan 50 kg, tekanan darah 120/80 mmHg, laju jantung 80x/menit. Foto torak: pembesaran jantung yang ringan, CTR50%, peningkatan sekret bronkovaskular. Monitor EKG didapatkan amplitudo QR yang rendah, QT memanjang, kemungkinan penyakit jantung iskemik. Laboratorium dalam batas normal. Pada MRI: HNP L12345. Operasi dilakukan dalam posisi prone selama 9 jam. Tidak ada kesulitan dalam tata laksana anestesi, selama operasi kardiovaskular stabil, tekanan darah antara 105/55130/70 mmHg dan laju jantung 7780 x/menit. Tidak terjadi komplikasi pascabedah.Anesthetic Management of Complex Laminectomy Due To Lumbar Disc Herniation L1 5 A lumbar disk herniation is very common, occuring in 2% of the general population. Sciatica, resulting from a herniated lumbar disk, is the most common cause of radicular leg pain in the adult working population. Important setting patient's position, prone position, in addition to gain optimal access for the surgeon, can affect recovery time, morbidity and mortality. Generally, geriatric patients are more sensitive to anesthetic. To obtain the expected clinical effect usually in elderly ussually need fewer drugs, and the effect is often prolonged. Generally in geriatric patients, have obtained a rapid recovery and avoid decreasing organs function decline. Women 61 years of experience lower back pain and paresthesias. GCS 15, weight 50 kgs, blood pressure 120/80 mmHg, heart rate 80x/menit. Thorax photo: mild cardiac enlargement, CTR50%, increase in bronchovascular. Secretions QR ECG reveal a low amplitude, QT prolonged, with the possibility of ischemic heart disease. Laboratories within normal limits. On MRI: HNP L12345. Surgery performed in prone position for 9 hours. Anesthesia was uneventful stable cardiovascular,with blood pressure between 105/55 - 130/70 mmHg and heart rate of 77-80x/ min. No postoperative complications occurred

Perbandingan Osmolaritas, Kadar Natrium dan Klorida Plasma setelah Pemberian NaClRL (3:1) dengan Ringerfundin pada Pasien Tumor Otak Martinus, Fardian; Fuadi, Iwan; Bisri, Tatang
Jurnal Neuroanestesi Indonesia Vol 3, No 1 (2014)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Latar Belakang dan Tujuan : Kristaloid NaCl 0,9% merupakan cairan dasar yang sering digunakan pada perioperatif pasien tumor otak, namun berpotensi menyebabkan asidosis hiperkloremia sehingga dikombinasikan dengan Ringer Laktat. Ringerfundin, kristaloid yang komposisi elektrolitnya hampir ideal, namun belum banyak penelitiannya dalam kasus bedah saraf. Tujuan penelitian adalah membandingkan pemberian cairan kombinasi NaCl 0,9%: RL (3:1) dengan cairan Ringerfundin pada pasien tumor otak untuk melihat osmolaritas, natrium dan klorida plasma. Subjek dan Metode: Penelitian Randomized Controlled Trial (RCT) pada 36 pasien tumor otak yang menjalani kraniotomi, di Rumah Sakit Hasan Sadikin. Sampel dibagi menjadi kelompok NaCl 0,9%:RL (3:1) dan kelompok Ringerfundin. Dilakukan pemeriksaan natrium, klorida plasma dan osmolaritas plasma sebelum dan setelah pemberian cairan sebanyak 1 liter. Data penelitian dianalisis dengan uji t.Hasil: Analisis statistik menunjukkan tidak terdapat perbedaan yang bermakna kedua kelompok setelah pemberian cairan dalam perhitungan osmolaritas plasma 291,42 vs 290,21 (p=0,63) dan natrium plasma 141,28 vs 141,06 (p=0,82). Terdapat perbedaan yang bermakna kadar klorida kelompok NaCl 0,9%: RL dibandingkan dengan kelompok ringerfundin 106,33 vs 104,39 (p=0,02). Simpulan: Ringerfundin dapat menjadi cairan alternatif dari NaCl 0,9%: RL dengan tidak menyebabkan perubahan pada osmolaritas, peningkatan kadar natrium dan kadar klorida plasma.The Comparison of Osmolarity, Plasma Natrium and Chloride Level After Administering NaCI-RL (3:1) and Ringerfundin in Brain Tumor Patients Undergoing CraniotomyBackground and Objective: One of most commonly used crystalloid for perioperative fluid administration in patients with brain tumor is NaCl 0,9%, and because it has potential to cause hyperchloremic acidosis, its administration usually combined with Ringer Lactate. Ringerfundin is a crystalloid solution which contains electrolyte composition that is considered as the most ideal solution, but has not been frequently used in neurosurgery procedure. The aim of this study is to compare the plasma osmolarity, sodium and chloride levels in brain tumor patient after the administration NaCl 0,9% combined with: RL solution in 3:1 ratio and after ringerfundin administration.Subject and Method: Thirty six patients underwent craniotomy tumor removal were assigned randomly to receive NaCl 0,9%: RL (3:1) or ringerfundin solutions. Sodium and chloride plasma level and calculated plasma osmolarity were recorded at baseline and after one liter of fluid adminisitration. Data were analyzed with by using t-test analysis. Result: Statistic analysis showed no significant differences between the two groups in calculated plasma osmolarity (291,42 vs 290,21; (p=0,63) and sodium plasma level (141,28 vs 141,06; (p=0,82). A significant increased in chloride plasma level after one liter of fluid administration was observed in NaCl 0,9%: RL group compared to ringerfundin group (106,33 vs 104,39 respectively; (p=0,02).Conclusion: Ringerfundin is safe and can be use as an alternative fluid aside the most commonly used fluid combination using NaCl 0,9% and RL solutions, without causing changes in plasma osmolarity, and sodium or chloride plasma level.

Perubahan Fungsi Kognitif Peserta Program Pendidikan Dokter Spesialis (PPDS) Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Padjadjaran Setelah 24 Jam Kerja Nurchaeni, Ati Nurchaeni; Tavianto, Doddy; Oktaliansah, Ezra
Jurnal Neuroanestesi Indonesia Vol 8, No 3 (2019)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Latar Belakang dan Tujuan: Profesi dokter anestesi merupakan profesi dengan beban kerja tinggi yang dituntut untuk berpikir dan bertindak cepat dan tepat dalam situasi kritis. Kekurangan tidur, kelelahan, dan perubahan irama sirkadian mempengaruhi fungsi kognitif dokter anestesi. Tujuan penelitian ini untuk mengetahui perubahan fungsi kognitif peserta Peserta Program Pendidikan Dokter Spesialis (PPDS) Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Padjadjaran setelah 24 jam kerja yang diperiksa menggunakan Montreal Cognitive Assessment versi Indonesia (MoCA-INA). Subjek dan Metode: Penelitian ini merupakan penelitian deskriptif observasional prospektif dengan pendekatan cross sectional yang dilakukan pada 62 subjek dengan memeriksa MoCA-INA jam ke-0 dan jam ke-24. Hasil: Pada penelitian ini didapatkan penurunan nilai rata-rata MoCA-INA dengan nilai jam ke-0 yaitu 29,84 0,365 dan jam ke-24 yaitu 28,92 1,010. Berdasarkan aspek kognitif yang diperiksa, fungsi atensi merupakan aspek yang mengalami penurunan setelah jam ke-24. Penurunan nilai MoCA-INA paling banyak terdapat pada subjek yang bertugas di kamar operasi. Penurunan nilai rata-rata MoCA-INA setelah 24 jam kerja tersebut masih dalam batas normal karena masih di atas nilai acuan dan secara klinis tidak menunjukkan gangguan. Simpulan: Terdapat penurunan fungsi kognitif peserta PPDS Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Padjadjaran setelah 24 jam kerja.Cognitive Function Alterations on Residents Anesthesiology and Intensive Care of Medical Faculty Universitas Padjadjaran after 24 Hours ShiftAbstractBackground and Objective: Anesthesiologist is a profession with a heavy workload which is need fast thinking and rapid decision making in a critical and life-threatening situation. Sleep deprivation, extended workshifts, exhaustion and circardian cycle changes can affect anesthesiologists cognitive function. This aim of this study was to evaluate cognitive function changes in Residents of Anesthesiology and Intensive Therapy in Medical Faculty Universitas Padjadjaran after 24 hours shift using Montreal Cognitive Assesment-Indonesia Version (MoCA-INA).Subject and Method: This study was an observational-descriptive-prospective study using crosss sectional approach evaluating MoCA-INA score in 0th hour and 24th hour after shift in 62 subjects. Result: The result of this study shown an average MoCA-INA score at 0th hour was 29.84 0.365 while at 24th hours the average score was 28.92 1.010. According to MoCA-INA, attention is the deprived domain at 24th hour after shift. MoCA-INA score declines mostly in subjects working in the operating room. According to MoCA-INA cut off value, the score of 26 is considered normal after 24 hours shift and not showing any clinical disturbance. Conclusion: The conclusion of this study is decreasing cognitive function among Anesthesiology Medical Faculty Universitas Padjadjaran residents after 24 hours shift.

Penatalaksanaan Anestesi pada Ruptur Aneurisma Firdaus, Riyadh; Suarjaya, I Putu Pramana; Rahardjo, Sri
Jurnal Neuroanestesi Indonesia Vol 5, No 1 (2016)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Ruptur aneurisma adalah salah satu kejadian vaskular yang devastated dengan tingginya angka mortalitas. Namun dengan penanganan yang cepat dan tepat maka angka kematiannya hanya mencapai 10%, dan morbiditasnya ringan. Selain dari efek pecahnya pembuluh darah, banyak komplikasi lain yang perlu diperhatikan seperti perdarahan ulang, vasospasme, hidrosefalus, gangguan elektrolit sampai gangguan respirasi. Dilaporkan pasien perempuan 47 tahun dengan sakit kepala, mual dan muntah yang memberat sejak 2 minggu sebelum masuk rumah sakit. Keluhan seperti ini sudah dirasakan 7 tahun sebelumnya, dan didiagnosa sebagai ruptur aneurisma spontan, sekarang tanpa gejala sisa. Pada pemeriksaan fisik, pasien sadar penuh dengan kaku kuduk, tanpa tanda neurologis fokal. Dari pemeriksaan penunjang didapatkan terdapat vasospasme pada a. Karotis Interna setinggi segmen suprasinoid, serta perdarahan tipis intraventrikel dan ventrikulomegali. Pasien direncanakan untuk dilakukan clipping aneurisma dalam anastesi umum. Pasien kemudian di rawat di ruang perawatan intensif dengan target penyapihan cepat dan ekstubasi. Tantangan dalam proses anestesi kasus aneurisma adalah mempertahankan antara tekanan dalam aneurisma dan cerebral perfusion preassure (CPP), proteksi otak pada periode iskemi, serta menyediakan lapang operasi seluas mungkin. Pasca-operasi harus diperhatikan tanda tanda komplikasi berupa iskemia.Anesthetic Management in Patient with Rupture Intracranial AneursymAneurysm rupture is a devastated vascular injury with high mortality rate. But in expert hands, it has lower mortality only about 10%. Aneurysm has other complication such as rebleeding, vasospasm, hydrocephalus, and electrolyte also cardio-pulmonary disturbance. The patient is 47 years old women with progressive headache, nausea and vomiting since 2 weeks before admission. She already experienced the same symptoms at 7 years ago, and was been diagnosed with spontaneous rupture aneurysm. She is fully alert, only with nunchal rigidity and no neurologic deficit. There were vasospasm at A.Carotis Interna as high as supracinoid segment and intraventricular hemorrhage from CT dan CT-Angiography. Patient went to clipping procedure under general anesthesia. Post-operatively patient was admitted to intensive care unit with fast liberation of ventilator and extubation. Anesthetical challenge of rupture aneurysm are to maintain aneurysm pressure and cerebral perfusion rate, brain protection, and provide enough space for surgery. Post-op monitoring should include routine neurological examination to early detect ischemia.

Anestesi untuk Bedah Saraf pada wanita Hamil Dewi Yulianti Bisri; Tatang Bisri
Jurnal Neuroanestesi Indonesia Vol 2, No 1 (2013)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Kelainan neurologic yang memerlukan intervensi bedah dari waktu ke waktu bertambah banyak, yang dapat berupa cedera otak traumatic stroke perdarahan atau tumor serebri pengelolaan anestesi pada pasien-pasien ini sulit dengan adanya perubahan fisiologik ibu yang terjadi selama kehamilan. Perubahan-perubahan ini memerlukan perhatian dalam pengeloalaan anestesi yang dipertimbangkan tidak tepat untuk wanita yang tidak hamil dengan kondisi neurologic yang sama. Bedah saraf jarang dilakukan pada wanita hamil, tapi diperlukan pendekatan multi disiplin dan pertimbangan hati-hati untuk operasi dan melahirkan bayi. Diperlukan modifikasi praktik obstetric dan neuroanestesi untuk mengakomodasi tindakan yang aman untyuk ibu dan fetus. Anesthesia for Neurosurgery in The Pregnant PatientNeurologic disorders requiring surgical intervention more and more caused by traumatic brain injury, haemorrhagic strokes, or brain tumors. The anesthetic management of these patients can be complicated by the significant maternal physiologic changes that occurs during pregnancy. These changes may require alteration in anesthetic management that would considered inappropriate for a nonpregnant patient with the same neurological condition. Neurosurgery is infrequent required during pregnancy, but mandates multidisciplinary approach and careful cionsideration of the time of both surgery and delivery. Modification of neuroanesthetic and obstetrics practice to accodate the safety requirements of the mother and fetus may be required

Manajemen Anestesi pada Penderita Sindroma Pfeiffer dengan Posisi Sphinx Halimi, Radian Ahmad; Bisri, Dewi Yulianti; Bisri, Tatang
Jurnal Neuroanestesi Indonesia Vol 7, No 3 (2018)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Sindroma pfeiffer adalah kelainan genetik autosomal dominan berupa fusi prematur tulang kepala dan tubuh lainnya. Operasi rekonstruksi kraniofasial pada pasien dengan sindrom pfeiffer memberikan tantangan tersendiri bagi ahli anestesi. Pada laporan kasus ini, seorang anak perempuan berusia 18 bulan datang ke rumah sakit Hasan Sadikin Bandung dengan keluhan kelainan bentuk kepala sejak lahir. Kelainan tersebut disertai dengan proptosis mata, hipoplasia maksila bilateral, high arc palate, hipotelorisme dan hidrosefalus, namun tidak terdapat riwayat obstruksi jalan nafas. Pasien direncanakan dilakukan prosedur rekonstruksi kraniofasial dan tarsorhaphy dengan posisi modifikasi prone (posisi sphinx). Permasalahan yang terjadi selama operasi adalah obstruksi vena juguler, perdarahan dan kebocoran cairan serebrospinal pascaoperasi. Operasi berlangsung selama 19 jam. Pascaoperasi pasien dirawat di PICU dan dipindahkan ke ruangan perawatan biasa pada hari ke 4. Penanganan perioperatif pasien dengan sindroma pfeiffer yang akan menjalani prosedur operasi kraniofasial membutuhkan penanganan secara multidisiplin dan dibutuhkan pemahaman yang mendalam mengenai fisiologi, potensi permasalahan intraoperasi, resiko dan komplikasi pascaoperasi untuk mencapai hasil luaran yang baikAnesthesia Management in Patients with Pfeiffer Syndrome with Sphinx PositionPfeiffer syndrome is a dominant autosomal genetic disorder characterized by premature fusion of head and other body bones. Craniofacial reconstruction surgery in patients with Pfeiffer syndrome presents a challenge for an anaesthesiologist. This case report discusses about 18 month old girl came to the Hasan Sadikin hospital in Bandung with complaints of clover head shape from birth. The other abnormalities consist of eye proptosis, bilateral maxilla hypophlasia, high arc palate, hypotelorism and hydrocephalus. There was no history of obstructive sleep apneau (OSA). The patient underwent craniofacial vault reconstruction procedure and a tarrsorhaphy with modified prone position (sphinx position). During the operation, there were problems occured such as jugular venous obstruction, bleeding and postoperative cerebrospinal fluid leakage. The procedure takes 19 hours long, and after the operation, the patient admitted to the PICU and being transferred to the ward on day-4. The perioperative treatment of patients undergoing craniofacial surgery requires a multidisciplinary treatment approach, and deep understanding of the physiology, potential intraoperative problems, risks and postoperative complications to achieve better outcomes.

Pemanjangan Ventilasi Mekanik di Intensive Care Unit (ICU) pada Pasien dengan Tumor Glioma Batang Otak yang menjalani Kraniotomi Pengangkatan Tumor Halimi, Radian Ahmad; Bisri, Tatang
Jurnal Neuroanestesi Indonesia Vol 2, No 3 (2013)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Kekerapan glioma batang otak mencapai 1020% dari semua tumor primer sistem saraf pusat dan biasanya terdiagnosa pada usia muda. Pada penanganan perioperatif perlu dipertimbangkan cara pengangkatan tumornya, pemakaian steroid perioperatif, perencanaan ventilasi mekanik pascabedah dan fisioterapi. Seorang anak berumur 11 tahun dengan diagnosa tumor batang otak, mengeluh tidak dapat berdiri, penglihatan ganda, afasia, gangguan menelan. Pasien telah menggunakan kortikosteroid dalam waktu yang lama. Dilakukan operasi pengangkatan massa tumor otak dengan lama operasi 10 jam. Pascabedah terjadi pemanjangan ventilasi mekanik, Ventilator Associated Pneumonia (VAP) pada hari ke-4 dan perdarahan lambung pada hari ke-6 di ICU. Teknik operasi sulit karena tumor berada di daerah yang sangat dekat dengan pusat pernapasan dan hemodinamik. Diperlukan perencanaan yang matang mengenai penilaian kondisi pasien saat preoperatif, pemantauan hemodinamik dan tekanan intrakranial, strategi perlindungan terhadap lambung, perencanaan ventilasi mekanik, penilaian cepat perlunya trakheostomi, pemberian antibiotik untuk meningkatkan keluaran yang lebih baik. Prolonged Mechanical Ventilation on Postcraniotomy Tumor Removal on Brainstem Glioma in the Intensive Care Unit Brain stem glioma makes 1020% of primary central nervous system tumor and is diagnosed primarily in children. In perioperative management, approach of tumor removal, steroid usage, mechanical ventilation planning, good nursing care, and physioterapy, should be considered. The aim of this case report is to discuss complications that may occur with prolonged mechanical ventilation after surgery. An 11-year old boy, diagnosed with brain tumor, was admitted to hospital due to inability to stand, double-vision, aphasia, swallowing disorder, with longterm corticosteroid treatment. He underwent a brain tumor removal surgery. Surgery was conducted within 10 hours. After the surgery, he had prolonged mechanical ventilation in ICU. On the fourth day, he suffered from ventilator associated pneumonia (VAP) and gastrointestinal bleeding on the sixth day care in ICU. Patient presented to hospital with late onset symptoms of his condition. Operation technique was difficult as the tumor is located within close proximity to the breathing and haemodynamic centers. There are necessity for detailed perioperative assessment and planning, hemodynamic and intracranial pressure monitoring, gastric protection strategy, mechanichal ventilation planning, quick assessment of tracheostomy installment need and usage of proper antibiotic for a better outcome.

Page 23 of 37 | Total Record : 363

21 22 23 24 25

Filter by Year

2012 2026

Filter By Issues

All Issue Vol 15, No 1 (2026) Vol 14, No 3 (2025) Vol 14, No 2 (2025) Vol 14, No 1 (2025) Vol 13, No 3 (2024) Vol 13, No 2 (2024) Vol 13, No 1 (2024) Vol 12, No 3 (2023) Vol 12, No 2 (2023) Vol 12, No 1 (2023) Vol 11, No 3 (2022) Vol 11, No 2 (2022) Vol 11, No 1 (2022) Vol 10, No 3 (2021) Vol 10, No 2 (2021) Vol 10, No 1 (2021) Vol 9, No 3 (2020) Vol 9, No 2 (2020) Vol 9, No 1 (2020) Vol 8, No 3 (2019) Vol 8, No 2 (2019) Vol 8, No 1 (2019) Vol 7, No 3 (2018) Vol 7, No 2 (2018) Vol 7, No 1 (2018) Vol 6, No 3 (2017) Vol 6, No 2 (2017) Vol 6, No 1 (2017) Vol 5, No 3 (2016) Vol 5, No 2 (2016) Vol 5, No 1 (2016) Vol 4, No 3 (2015) Vol 4, No 2 (2015) Vol 4, No 1 (2015) Vol 3, No 3 (2014) Vol 3, No 2 (2014) Vol 3, No 1 (2014) Vol 2, No 3 (2013) Vol 2, No 2 (2013) Vol 2, No 1 (2013) Vol 1, No 4 (2012) Vol 1, No 3 (2012) Vol 1, No 2 (2012) Vol 1, No 1 (2012) More Issue

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

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

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