Anestesi Spinal pada Seksio Sesaria Wanita dengan Karsinoma Nasofaring
Abstract
Introduction. Regional anesthesia and general anesthesia can be performed in patients with nasopharyngeal cancer, although spinal anesthesia is more aggressive lowering the patient’s hemodynamic state, but the likelihood of difficult intubation in these patients becomes a consideration for regional anesthesia.
Case. 35-year-old woman, G3P1A1, 37 weeks pregnant in hospital wanted to give birth. Pasr medical history was difficult to swallow with pain and diagnosed with nasopharyngeal carcinoma. Spinal anesthesias was performed with lidocaine 5% dose 75 mg with adjuvant fentanyl 25 ug. Block achieved until dermatome thorakal. The duration of surgery is 60 minutes with systolic between 90-120 mmHg, diastolic between 55-80 mmHg and pulse between 100-112 times / min. Baby born with APGAR score 8-9, weight 3300 gram. Post surgery patients are treated at the Intensive Care Unit, and during treatment the hemodynamic condition is stable.
Summary. The technique of spinal block anesthesia with lidocaine 5% 75 mg with adjuvant fentanyl 25 mcg was considered quite satisfactory as anesthesia management in this case. Synergistic effects of local anesthesia and opiod provide great benefits for obtaining adequate anesthesia, thereby reducing the risk of difficult intubation if general anesthesia is performed
Copyright (c) 2018 Supraptomo, Yusmein Uyun
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The Contributor and the company/institution agree that all copies of the Final Published
Version or any part thereof distributed or posted by them in print or electronic format as permitted herein will include the notice of copyright as stipulated in the Journal and a full citation to the Journal.