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  • Cedera Kepala

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    Ariyo Sunggeng
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    Dr. Tamam Al Fanani discussed the epidemiology, anatomy, pathophysiology, classification, and management of traumatic brain injury. Some key points include: - In the US in 2003, there were 1.565 million brain injuries, 51,000 deaths, and 80,000 people were left disabled. - Secondary brain damage occurs after the initial impact and can be prevented. It includes intracranial bleeding, brain swelling, brain shifting, ischemia, and infection. - Patients must be quickly resuscitated to prevent further brain damage and death from hypotension, hypoxia, and hypotension combined. Airway management, oxygenation, circulation support, and treatment of the underlying causes are essential.

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    CEDERA KEPALA

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    Dr. Tamam Al Fanani discussed the epidemiology, anatomy, pathophysiology, classification, and management of traumatic brain injury. Some key points include: - In the US in 2003, there were 1.565 million brain injuries, 51,000 deaths, and 80,000 people were left disabled. - Secondary brain damage occurs after the initial impact and can be prevented. It includes intracranial bleeding, brain swelling, brain shifting, ischemia, and infection. - Patients must be quickly resuscitated to prevent further brain damage and death from hypotension, hypoxia, and hypotension combined. Airway management, oxygenation, circulation support, and treatment of the underlying causes are essential.

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    16 views26 pages

    Cedera Kepala

    Uploaded by

    Ariyo Sunggeng
    Dr. Tamam Al Fanani discussed the epidemiology, anatomy, pathophysiology, classification, and management of traumatic brain injury. Some key points include: - In the US in 2003, there were 1.565 million brain injuries, 51,000 deaths, and 80,000 people were left disabled. - Secondary brain damage occurs after the initial impact and can be prevented. It includes intracranial bleeding, brain swelling, brain shifting, ischemia, and infection. - Patients must be quickly resuscitated to prevent further brain damage and death from hypotension, hypoxia, and hypotension combined. Airway management, oxygenation, circulation support, and treatment of the underlying causes are essential.

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    © All Rights Reserved
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    of 26

    dr.

    Tamam Al Fanani
    PENDAHULUAN

     2003 DI USA
     1.565.000 Cedera otak
     51.000 meninggal
     80.000 cacat
     Indonesia ??

    ANATOMI
    A
     N
    A
    T
    O
    M
    I

    ANATOMI
    FISIOLOGI

     TIK normal 10mmHg, TIK naik  perfusi otak
    turun iskemia sekunder
     ADO 50-55ml/100gr/menit, hipotensi sistemik 
    ADO turun  perfusi otak turun iskemia
    sekunder
     Ingat doktrin monro-kellie


    Glasgow coma scale

    PATOFISIOLOGI

     KERUSAKAN POST TRAUMA
     IMPACT DAMAGE
     Tidak dapat dihindarkan
     <50 mili detik post trauma
     SECONDARY BRAIN DAMAGE
     Akibat dari impact damage
     Beberapa saat setelah trauma
     Bisa dicegah
    PATOFISIOLOGI

     Secondary brain damage
     Perdarahan intrakranial
     Pembengkakan otak
     Penggeseran otak
     Ischemia
     Infeksi
    KLASIFIKASI

     Cedera otak ringan
     Gcs 13-15
     Cedera otak sedang
     Gcs 9-12
     Cedera otak berat
     Gcs 3-8
    EPIDURAL HEMATOM

    SUBDURAL HEMATOM

    S
    U H
    B E
     M
    A
    R
    A
    A
    C T
    H O
    N
    O M
    I A
    INTRA CEREBRAL
    INTRA VENTRIKULAR

    PENATALAKSANAAN

     Cedera otak + hipotensi = 2xmortalitas
     Cedera otak + Hipoksia + hipotensi = 75%
    MENINGGAL
     SEGERA RESUSITASI!!!!!!!
    PENATALAKSANAAN

     Airway & breathing
     Jaga airway (jaw trust, suction, opa/mayo)
     Intubasi (gold standart)
     Beri oksigen 100% (02 nasal??)
     Saturasi 02 target > 98%
     Kontrol servical???
    PENATALAKSANAAN

     Sirkulasi
     Cedera otak tidak menyebabkan hipotensi
     Perdarahan intrakranial tidak menyebabkan shock
    hemoragik
     Hindari cairan hipotonik dan gula
     Terapi shock!!!
     Cari penyebab!!
     Kontrol perdarahan
    PENATALAKSANAAN

     Disability
     Evaluasi ulang gcs
     Cek respon pupil
     Ingat respon motorik terbaik
    PENATALAKSANAAN

     Eksposure
     Cegah hipotermia
    PENATALAKSANAAN

     Medikamentosa
     Nootropik
     Citicoline 250-500 mg
     Piracetam 3 gr
     Analgetik
     Ketorolac, paracetamol, metamizole
     antiemetik
     Antikonvulsan
     fenitoin
     Mannitol
    PENATALAKSANAAN



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