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    3 - Jurnal Neuroanestesia Indonesia

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    3 - Jurnal Neuroanestesia Indonesia

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    YuliYuniartiSundari
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    jurnal

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    3- Jurnal Neuroanestesia Indonesia

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    jurnal

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    12 views11 pages

    3 - Jurnal Neuroanestesia Indonesia

    Uploaded by

    YuliYuniartiSundari
    jurnal

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    © All Rights Reserved
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    Volume 01 | Nomor 01 | Januari 2012 Jurnal NEUROANESTESIA INDONESIA go Kata Pengantar ojala “umal Nowrsnesteia Indonesia tert bardasarkan has rapt plan Indonesian city of ‘Neuroanesthesia& Crical Care ((NA-SNACC) yang cadekan 6 Bandung pada bulan Ju 2011 Mojaiah ink detan berdassran keinginan untuk salng berbap! mu antara para Sposa ‘Anestosoiog KonsutanNoufoaneses & Crilcal Care (SpAXRNA) dan para Vainee pendldkan ‘Spesais Aresizog! Konstan Neuoanestest sera para SpAn lannya. Selmi juga une memberkan Kesampatan kepada para sojwat SpAn lai can para syst bang imu tne Unk dapat menulskan kara imiannya dalam dang Neuro sas ajaiah ini mempubtkasizan hail peeltan,lapran kasus, tgausn pustaka, Serta surat Ke edo. Penelan dalam bcang Newesnesoa! & rca Care sangat suit sku yang trou da harp {ise sya kara imsh air dart para PPOS Aneste! a salu Pusat Penddvan Anestestlog Indonesia yang meno dalam bidang Neuroanestsia & Crical Care. Akan tla, sampa satin ‘Sidah ado 8 penaitan $3 dalam bidang Newroanesesa & Crtcal Core Indonowa yang seruanys mmerupskan penelttan para kanskat Doktor dh Universins Pacjajiaran, Maka cengan Gemikin, pe Ponortan prdana in, dpubikaskan Tirjausn Pustaks dan Laporan Kasus. Selamatmamboca Bandung, Januar 2012 Ketua Dewan Redaks SpesiasAnestesilog Konsuton Neuroanestos MAJALAH INA-SNACC KetuaEator + Prot OcTetang lr, SoANKNAKRO Pot Or HO) A Himenaa Waraatsbrat, , SpAMKNAKIC Prot St Chasak Sah SPAN RNA Prt Nay Marga Rabtn SpAoKNA, KN ‘Spang Suyono dr SpANA KAO, MLSE ‘De Saar dr Spann Sr Bang Soa. SoArkNA DB Setyen rap, Spank De zon Ud, SNA Asisten ont Yain Be, de, Spares Bana Caine Lenah SAMs erwakn dakarte 1x Dj Yareasan er SpArKNA Penwakn Aco Zatrtah Rania, SpA0| Penvakn Somat Utara ionarad Span Penakin Sumatra Settan Fenehetana, a Span Syaua Gaus ds Spek PHO an usd. Siri kos Pervakian I Yogystata De Sut or Spank Penwaln Jaws Tengah Dr Savannah, SpAnk Parvati done Tener Dr Hamza, SparKWA Bambang Harnad, Span Peak Ba Nasa Tenggre, Kalmantan Paar ds SANA KAN Hse [Alamat Reals = BaganSMF Anestesicog 8 Teepe Faults Keohtren Ue Pagedoran RS Hazan Sadi In Porter 90 Sanaung lt 222030265, [Alamat Emat_fntongbenthyanoo cas ANESTESIA UNTUK KRANIOTOMI TUMOR SUPRATENTORIAL ANESTHESIA FOR CRANIOTOMY SUPRATENTORIAL TUMOR Dlana Ch. Lalonoh * Hermanus J. Lalenoh® Naney Margarita Rehatt® > Departemen Anestesong & Terps alae Kedekeeran Unversse Sam Ratulang|/ RS, Prt. LD. Kandou, Manado *'Departemen Anesesciog| & Ter ntnst Fafulas Kedekeran UnversasAriangga RSUD. Or. Sosiomo, Surabaya Abstract The common suprotntria umers in aduts are gloms (90%), meningioma (22.1%), and adenoma play (8-43). Approximately hal of hese tumors are magnet. The major of thm (> 8080) are Supratertoal. Forth entre primary tumer the average age when 2 ra tumor Was detctog fs 67 ‘yrs ol. The exae! numberof metastatic bran fume inden I unkown, but is assumed que, fou The exstence of metastatic mor of ho canal rons sstom (SSP) sound atthe atopy of ‘round 25% of patents who dled of cancer. There are five source af malignancy which offen cause metastasis the brain, namely breast cancer, colorectal cancer, ing cane, aed metanaa, Is ercont of patents, those compleatons appeared within a yea alr the primary tumor is detected, Tase ve carcars equerty cause the bran metastases aperoxmtaly 37.000 cases inthe United Stes itis reported the successul handing of anasthesla on woman $6 years a, weighing 85 hg. Tis ‘baton! was dognosed wih Space Occupying Lessin (SOL) ight 0D / Meningema. Cranctomy Surgery was performed for tun expert. AI the time she entered the operaing Tom, Hebd Drossure was 170/100 mig, pulso rato Boats / minut, respratry rato 20 mes / mine, body {emperature of 3° €. and GES E4VSI. She was induced with Fentany! 100 mg, 100 me Propatet Intubation fates are Rocurnium 40 mg, Locale 70 mg, maintenance wit) alan Sevoturane fang Onygon, along with continuous Propotc.the ation ef Fentanyl and ifamitert Feeurnir Intuson Was atached in two patays The surgery listed seven ours and twenty minutes. With nasal cannula and oxygon'S irs / minute atachod, tho patent was Wanstored fo ICU. She was treated for ane day in ICU, bofore moved info @ ward. After say inthe ward for days, she wae tdscharged and Became an cupabont of neurosirgoon ‘Anesthesia (or supratertoal tuner requrs an understanding of pathophysiology of iacranial bressure ICP) suppression locally ond ero salting up and manianone of inrecwrebralperuson, how to avai secondary ofecs of @ system afc! on tho bran Accuato and structured Benoperatve preparation ls ral or handing of anesthe fr supratertava ums, which ncuses the preperation of the patent pre-sugery, completeness prpraton of drugs. devices, and ‘mentoring. o5 wel as planning the mplamertaten of fe anesthesa unl post-surgery tndance, Koyyords: Anesthesia, nonhamacaiogcal neuroprotection, phamacalogical neuroprotoction, Supratetoal tumors. IMI 2012; 1 (1): 10-24 ‘Abstrak ‘Tumor suprtertorltrsering pada orang dewasa adalah gloma (36%), menicema (32.1%), dan adenoma pultary (8.4%). Solar caparu dat tumor tersbut adalah ganas. Mayors tumor tumor {tresbut (80%) adalah suprtertoria Unt slur tor primer, raarata usa terete ada {nor otk adalah 57 tahun. Aagka pas ines metas tuor tak teak deta naman (eco) dan hans dgwaian Sshngetvaratel Sono! ksenaHemnghin ura gradi COr aero pda psc sn fo safes det perv (Paco, ante 2" 2mm Hy) wk mengeadaion teak yng enol pa pes aoe sey Ineadapaian alk duran rnopn root Pada Sass flan pervert ringan Sell ag fre kote san i prasrant Jag teed jit dank tesedanya kapoopat, mata hpersensiasi rgan diskakan doit Perkin beraian vole il 8 mLkg 88 feng je aps 2-18 al i Pada insti pasendbertan mannitl 20 met sebum dirs dks, Pngaunsn etl ome Sper mania dan Iyperamatie alin an renngitlan oupalits Gah sara aks, ‘hinges menaeang kandungan af oak. Dosis ‘enberan nan dala Osama 1 (150 400 mL 20% Mana) insane tap anara Goss penbran yang lkih cepa prerancto ‘asia jong lb abet, sxmpat disks tk Teagp'? Pata pasen in) manstl dberion dengan dosis 0.5 gg. BB (Giganakan 50 mi. ‘Manni! 20%, Management Arse 1 Peiianpreperait Poventan stg anesesi unk menberkan interven: blo sara terpnang pac pongo ‘engsi mewoogit din keasan umm pan, ‘pseteanaan erent grist de fakeritr tenebet Peenanan pemgsas Dien din pomnciaan itevens! tar i Feo slo den Bah al yng, ‘Stas Newologik Pasion ‘Tuner vine diam meni sats necogic atin adel otk nxpekrkan trap banal ‘ponngloan TI, persia Kopin inci fn aero sot ana banyak peelaran eves tak TK dn CHP tetap deh ken shelum seri ck an radia kena ewslopk. Taha al stk meni se ‘ape bank Keun neuologic yang revere an yang pean eased. Khususy yang terurdprattn alah snes pose, poe ‘lasn fs, see penguin tela sper eng ‘erm po el tava i. Penguin in ‘um idedaya bars meu sare neraloghe takmesal, menbannglan kemampie Psi ‘neaght per ink esadaran pss, a ‘hye dest emamnpan beara ese, aah (GCS. Pejeasan meget ob cht spa sit Song sth dapat perting perce ken a Stan int jog dapat mepenpraKompline Invakarial, pets din_peliaaa, sta ‘mana modi fmakakne dn dna erg ota ae (Crscan tao MRL ari pasen tras dpa ‘mengpamtaan slam dan oli! tame ert ‘updo pexingkaan THK. Peingkaa TK fermarikpeleaen tee! oleh masa nen, Derm vente Inter yang tj at Treas obese, dn prgscran mine (nine sgt > 5 rom), Ad ga ada "anda pat it mengintan bh kaa volume — "TK rendeatdekompensasi (vas dar ava Iie Tole), dengan seit pningha- fan vole italnia ang menebebandspo- ‘ors pian TK dng bogie ‘eadaan Un Pasion Fangs knows don respira sng peting lace pers in olsigenst otk etn ‘entombed bal Teabags ‘operas ingens hare opal. Boboape ends pallogk inraknil akatmenguth fangs larorslalsr (misao ef peingatn “Tk pos nda sting). Operas spent (cute meningioma, mete) apt dubong- Le dengan Kclngas dah. yong. bermsina, pola, dan hues) yng dap! member ‘aruk tends aol Siem Ina yang teat ad sist rn (eiedaya petbetan dire yang. eelanjomys akan menjebebian gang Kennan flekwalt plasma, dibees insipits, s Teekurmgaya aspan cen sang menebsblan dehiias),ssen codon (yong brah i Proves penpekit inleaiasepar adeno pur at mca tap chat cht, spe ek dari gor etadaphiprghicomia dm kei seas an penpariny tadip “Tobe 2 Ean Nerolage Prep Taj Geni, ees mp) Peingaan TK ye pl, mil mth, petremiiones Penns it esa, somolen Tande—tnds nemo a hips, ‘et mar et nem ei Sede Pep, em imines mers fe Stem Pp oa gna TK) “unde spn Cig: Wn, ere laa ap, es pst cape) en Cina) dh Mesias Ota amp Pmeritsoan alg (Computed Tory [7] ion Meg esmnteImoping MED htm nl mide it Senta et ea bs ‘Spel Ser brn ik aa hin i den, ett ag 0k acer com berg) npn ie Dire Iapropite wero of oui orone Depa Perencaam Interven Seana Pembedahon Dalam perenananintve seams poten, eng untuk mecacitan lzan de psi tan, ‘Taproi arose, eadlatun pets, Sea ‘yang balan dengan Seung teat ‘lama pembedia, ert aaah aoe teeta Gkignt dala sear ral” Penn pe ‘econ aks meseukn aghimana poss pase, Pendskoan wok maser sqatnoral basya dal atic pinay temporal uu ea rds pendelatan fiona nus ens gis aon ns Keo Tre Suro | 21 san, lias, seinges_meningotan resto ‘ejay perl dn twa Yn Meng pat tabah kup bear, tera ads tat tent sopat pala rego. Hera $BhasnyaSesultan gs eigen dsm ek fenet laren slew dkny tape eval ise. Boberpa prover isnt ‘drs damn prt sien Rests tumor otk dapat menimtlan bebaga fohune newolopie, tptang ura ot eat Jsteme tuner" dish, Ave. ceotom {ch duilay sega endelatan wk pends ‘seg ap meme een meme de persia rata solange erat {ent segue! cat bana sina. Yan alg fontne pats mate anbiony adh monger inkan Kejamand pas. slg, mobs, Looper jung scivat™ Slaba operas, ‘Eegan ep opebaran Seuoanst da ‘meta peelarsn ngs tal." Pena Polka Avast} Semiah memutstan tortor eso, hal estar dtentutan Als Vasbor:Peimtangksn sho pexéraan

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