Anesthetic Management of Abdominal Surgery

Alagöl, Ayşin

doi:10.5772/49940

Cited by 4 publications

(4 citation statements)

References 48 publications

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“…Dalam praktek umum, anestesi seimbang dengan anestesi inhalasi, opioid dan neuromuskular bloker digunakan dalam anestesi umum untuk prosedur bedah perut. [11]…”

Section: Pendahuluanunclassified

Manajemen General Anestesi Pada Pasien Splenomegali

Selvia

2021

JSM

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Pendahuluan : Splenomegali merupakan suatu kondisi adanya pembesaran limpa atau lien yang diukur berdasarkan ukuran atau beratnya. Lien merupakan organ tubuh yang memiliki peran penting dalam proses imunologis dan hematopoiesis. Fungsi utama limpa termasuk dalam proses fagositosis eritrosit abnormal, pembersihan terhadap mikroorganisme dan antigen serta melakukan sintesis terhadap imunoglobulin G (IgG). Lien juga berperan dalam proses sintesis peptida sistem imun properdin dan tuftsin. Sekitar sepertiga dari trombosit yang bersirkulasi disimpan di limpa. Berat normal limpa orang dewasa adalah 70 g hingga 200 g, berat limpa 400 g sampai 500 g menunjukkan splenomegaly, berat limpa lebih besar dari 1000 g definitif splenomegali masif. Pembahasan : Tata laksana yang tepat pada splenomegali adalah dengan melakukan tindakan operatif yaitu splenektomi. Splenektomi dapat dilakukan melalui prosedur laparotomy dengan general anestesi. Kesimpulan: Tindakan splenektomi dengan general anestesi pada pasien menjadi topik yang menarik dengan memperhatikan kondisi kesehatan setiap individu dalam merespon pemberian tindakan anestesi yang diberikan. Pada tulisan ini akan dibahas mengenai penyebab splenomegali, evaluasi, dan manajemen anestesi pada tindakan splenektomi.Kata kunci : Anestesi, Splenomegali, Splenektomi

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“…Dalam praktek umum, anestesi seimbang dengan anestesi inhalasi, opioid dan neuromuskular bloker digunakan dalam anestesi umum untuk prosedur bedah perut. [11]…”

Section: Pendahuluanunclassified

Manajemen General Anestesi Pada Pasien Splenomegali

Selvia

2021

JSM

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“…Abdominal cerrahi planlanan hastalarda sorunların önceden bilinmesi, preoperatif dönemden itibaren hasta hazırlığı açısından önemlidir. 1 Abdominal Cerrahiye İlişkin Sorunlar 1-Pulmoner komplikasyonlar: Üst abdominal cerrahide alt abdominal cerrahiye göre daha fazladır, sıklığı %12-88 oranında değişir. 2 2-Postoperatif ağrı: İyi düzenlenmemiş postoperatif analjezi solunumla ilgili problemleri daha da arttırır.…”

Section: Introductionunclassified

“…Visseral periton elleme ve kesilmeye duyarsız, gerilme ve çekilmeye duyarlıdır. Visseral ağrı lokalize edilemez; bulantı, terleme, taşikardi gibi otonom belirtilerle birliktedir 1. Genel Yapı GİS motilitesi enterik ve ekstrensek sinir sistemi ile inerve olan düz ve sirküler kaslarca sağlanır.…”

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Abdominal Cerrahide Anestezi

Çardaközü

Aksu

2019

Kocaeli Üniversitesi Sağlık Bilimleri Dergisi

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Günümüzde teknoloji, cerrahi ve anestezideki gelişmeler ameliyat öncesi ve ameliyat sonrası hasta bakımında ilerlemelere neden olmuş ve artık cerrahi en son başvurulan tedavi yöntemi olmaktan çıkmıştır. Abdominal cerrahiye yönelik girişimler mide, safra, karaciğer, dalak, pankreas, ince bağırsak ve kalın bağırsaktaki hastalıkları kapsamakta ve ileri yaş grubunda cerrahi gerektiğinde komorbid hastalıkları nedeniyle ilave sorunları da beraberinde getirmektedir. Acil olduğu durumlarda bu sorunlar daha da artmaktadır. Bu derlemede abdominal cerrahi yapılacak hastalarda perioperatif anestezi yönetimini anlatmayı amaçladık.

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“…Post Pulmonary Complications (PPCs), are defined as pulmonary anomalies taking place in the postoperative period producing clinically notable, identifiable disease or dysfunction that critically affects the clinical course. Pulmonary function is impaired more severely after abdominal surgery than after non-thoracic or non-abdominal surgery [5]. Postoperative Pulmonary Complications (PPCs) continue to be an important risk of major abdominal surgery (abdominal or upper abdominal between rib cage and umbilicus surgery long-lasting for 3 hours or more), accounting for approximately 25% of postoperative deaths occurring within 6 days of surgery.…”

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Effect of lung boost device on inspiratory muscle strength in abdominal surgery patients

Alande¹,

G.D²

2021

IJPR

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Background: Abdominal surgery involves a surgical repair, resection or reconstruction of organs inside the abdominal cavity. This may include surgery on the stomach, gallbladder, small intestine (colon), liver, pancreas, spleen, esophagus and appendix affected by infection, obstruction, cancerous growth or inflammatory bowel disease. Post Pulmonary Complications (PPCs), are defined as pulmonary anomalies taking place in the postoperative period producing clinically notable, identifiable disease or dysfunction that critically affects the clinical course. As deconditioning is one of the most common and unnecessary causes of morbidity and mortality, the interventions that are implemented should have the potential to increase the strength of the respiratory muscles and accordingly, expand exercise performance and functional capacity as indicated. The aim of the study was to determine the effect of lung boost device on inspiratory muscle strength training in abdominal surgery patients. Material and Methods: Thirty participants between the age of 20 to 70 years that underwent abdominal surgery were selected and received inspiratory muscle training by lung boost device for twice daily 6 times in a week for 2 weeks. Pre and post intervention assessments were done by PIMax and 6MWD. Result: Result of this study showed significant difference in the PIMax and 6MWD when treated with Lung Boost device. Conclusion: The study concluded that use of Lung Boost device causes significant improvement in inspiratory muscle strength and 6MWD in group of abdominal surgery patients and so addition of Lung Boost device in patients with abdominal surgery will increase the strength of inspiratory muscle as well as the functional capacity. KEY WORDS: Abdominal surgery, Lung Boost device, Maximal inspiratory pressure (PIMax), 6Minute Walk Distance (6MWD).

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Anesthetic Management of Abdominal Surgery

Cited by 4 publications

References 48 publications

Manajemen General Anestesi Pada Pasien Splenomegali

Manajemen General Anestesi Pada Pasien Splenomegali

Abdominal Cerrahide Anestezi

Effect of lung boost device on inspiratory muscle strength in abdominal surgery patients

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