Anaesthesia for trauma patients

Ortega-Gonzalez, M.D.C.

doi:10.1080/20786204.2012.10874227

Cited by 5 publications

(20 citation statements)

References 18 publications

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“…[3][4][5][6] Hal-hal ini mungkin sulit pada pasienpasien yang datang dengan kegawatdaruratan medis yang memerlukan tindakan pembedahan segera, seperti pada pasien kami. [11][12][13][14] Fase edema harus diobati dengan penerapan PEEP, diuretik dan administrasi cairan terkontrol. Koloid versus infus kristaloid bukan merupakan masalah penting karena terjadinya edematous pada area tersebut akibat dari karakteristik paru yang terganggu.…”

Section: Penilaian Pra Operasiunclassified

“…[16][17][18] A= Airway= Jalan Napas Evaluasi awal dan resusitasi pasien dengan trauma di bagian gawat darurat secara tradisional mengikuti pendekatan ''ABCD '-penilaian saluran napas, pernapasan, sirkulasi, dan cacat neurologis berat. [3][4][5][6][11][12][13][14][15][16][17][18] Fungsi pernafasan dasar harus ditetapkan dari riwayat pasien dan pemeriksaan fisik. Oksimetri portabel dengan laju nadi mungkin menjadi alat monitoring yang berguna lebih lanjut.…”

Section: Penilaian Pra Operasiunclassified

“…Supine arterial oxygen saturation (SpO 2 ) <96% pada udara ruangan memerlukan pemeriksaan lebih lanjut (spirometri, analisis gas darah arteri) untuk hasil yang lebih tepat. [3][4][5][6][11][12][13][14][15][16][17][18] Indikasi untuk intubasi endotrakeal segera pada pasien trauma adalah sebagai berikut 4 : cedera kepala dengan GCS <10; ketidakstabilan hemodinamik yang parah; obstruksi jalan nafas; pasien kombinasi yang membutuhkan sedasi atau analgesia; anestesi umum; trauma dada dengan hipoventilasi (dada anterior flail> 8 iga); tandatanda kegagalan pernapasan: apnea> 2-3 mnt, tingkat pernapasan <10 atau> 29 / mnt, PaO 2 <60 mmHg dan PaCO 2 > 55 mmHg.…”

Section: Penilaian Pra Operasiunclassified

“…Hal ini menunjukkan bahwa pasien perlu dilakukan intubasi untuk melindungi jalan napas dan/ atau untuk membantu mempertahankan pH. [11][12][13][14][15][16][17][18] Pada awalnya, ventilator harus disesuaikan untuk menjaga alkalosis pernafasan ringan (yaitu, PCO 2 33-35 mmHg) untuk membantu menurunkan tekanan intrakranial. Hal terpenting, obat anestesi sedasi dan analgesik harus diberikan secara empiris baik untuk mengobati rasa sakit, mengurangi penderitaan pasien serta meminimalkan lonjakan katekolamin, sehingga tidak terjadi peningkatan tekanan intrakranial yang berhubungan dengan rasa sakit.…”

Section: Penilaian Pra Operasiunclassified

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Tatakelola Anestesi untuk Dekompresi Kraniektomi pada Cedera Otak Traumatik Berat dengan Penyulit Obesitas Morbid

Sumardi¹,

Rachman

Oetoro³

2020

JNI

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Anestesi dan pembedahan mungkin meyebabkan risiko yang cukup besar untuk pasien obesitas, apalagi obesitas morbid. Populasi orang gemuk meningkat, baik di negara maju dan berkembang, sehingga para ahli anestesi lebih sering menghadapi tantangan dalam mengelola pasien obesitas. Trauma multipel bertanggung jawab atas 5 juta kematian per tahun di seluruh dunia dan merupakan penyebab kematian utama bagi orang-orang muda di bawah 40 tahun, mewakili peristiwa akut dan tak terduga. Kami akan melaporkan seorang lelaki 36 tahun dengan obesitas morbid, BMI 48,97 kg/m2, yang mengalami multipel trauma akibat kecelakaan lalulintas, yang akan menjalani operasi evakuasi perdarahan subdural dan dekompresi kraniektomi. Pemilihan obat dan dosis aman sangat sulit pada pasien dengan multipel trauma, karena mungkin status volumenya tidak diketahui secara akurat. Rencana anestesi harus mempertimbangkan status resusitasi dan riwayat penyakit penyerta lain. Peran penting lainnya dari anestesiologis adalah pencegahan cedera sekunder yang disebabkan oleh syok berulang atau resusitasi tidak tepat. Anesthesia Management for Craniectomy Decompression on Severe Brain Traumatic Injury with Comorbid Morbid Obesity AbstractAnesthesia and surgery may cause considerable risk for obese patients, especially morbid obesity. Obese populations increase, both in developed and developing countries, so anesthesiologists more often face challenges in managing obese patients. Multiple traumas is responsible for 5 million deaths per year worldwide and is the leading cause of death for young people under 40, representing acute and unexpected events. We will report a 36-year-old man with morbid obesity, a BMI of 48.97 kg/m2, who experienced multiple traumas due to a traffic accident, who will undergo an evacuation operation for subdural hemorrhage and craniectomy decompression. The selection of drugs and safe doses is very difficult in patients with multiple traumas, because their volume status may not be accurately known. Anesthetic plan must consider resuscitation status and history of other comorbidities. Another important role of anesthesiologist is the prevention of secondary injury caused by recurrent shock or improper resuscitation.

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Section: Penilaian Pra Operasiunclassified

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Tatakelola Anestesi untuk Dekompresi Kraniektomi pada Cedera Otak Traumatik Berat dengan Penyulit Obesitas Morbid

Sumardi¹,

Rachman

Oetoro³

2020

JNI

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“…Other indications for sugammadex in the ICU include reversal of neuromuscular blockade given for short procedures where muscle relaxants are required or the treatment of residual neuromuscular blockade. The use of rocuronium for RSI in trauma patient, followed if necessary by sugammadex has been suggested by Ortega-Gonzalez [34].…”

Section: Rocuronium Induction and Difficult Airwaymentioning

confidence: 99%

Sugammadex: An Update

Ezri

Boaz

Sherman

et al. 2016

The Journal of Critical Care Medicine

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The role of an anesthesıst at the times of natural dısasters

Erkılıç¹,

Kesimci²,

Kaya³

et al. 2020

Glob J Anesth

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The Word of disaster is originated from dus (bad) and aster (star) in latin language. In italian; disastro, in French ; dèsastre.It means that some natural events can cause harmful outcomes. Lots of natural disasters happened during the history also before humanbeings.They have greatly infl uenced the lives of living creatures whatever their results. The fi rst description of the disaster is thought to have started with "Noah's Ark " in human history. Later, it was widely reported in Greek, Mesopotamian and other cultures. Disasters are divided into two groups as natural or manmade disasters. The natural group is examined under the name of disasters that develop slowly (severe cold, drought, famine) and develop suddenly (earthquake, fl ood, landslide, avalanche, storm, hose, volcano, fi re) according to the time of their formation. Human disasters can be grouped as nuclear, biological, chemical attacks, terrorist attacks, transport accidents, industrial accidents, overcrowding accidents and migrants and displaced persons. The most important natural disasters in the world history are summarized in Table 1. The mostly seen disasters are the eartqukes in Turkey. The most important earthquakes in Turkey are listed in Table 1. During disasters, anesthesiologists may play a role in pre-hospital care, as an emergency trauma team leader or member, in the operating room, post-operative and intensive care, and during transport. Anesthesia is an area of expertise trained to intervene in a wide range of patients, from a healthy to a medically complex case to pediatrics to geriatrics. Anesthesiologists have valuable skills in physical and toxic traumas before and during hospitalization. In some parts of the world, anesthesiologists are team leaders especially in

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Anaesthesia for trauma patients

Abstract: A Breathing and ventilation BCirculation with haemorrhage control C Disability: neurologic status

Cited by 5 publications

References 18 publications

Tatakelola Anestesi untuk Dekompresi Kraniektomi pada Cedera Otak Traumatik Berat dengan Penyulit Obesitas Morbid

Tatakelola Anestesi untuk Dekompresi Kraniektomi pada Cedera Otak Traumatik Berat dengan Penyulit Obesitas Morbid

Sugammadex: An Update

The role of an anesthesıst at the times of natural dısasters

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