Anestesi Spinal Pada Pasien Hidronefrosis Dextra Et Causa Ureterolithiasis Dextra
DOI:
https://doi.org/10.61132/vitamin.v2i2.294Keywords:
Hydronephrosis, Ureterolithiasis, Spinal AnesthesiaAbstract
Hydronephrosis is a condition widening of one or second kidneys because of enhancement of the pressure kidney. Pressure increase consequence exists in blockage like the presence of stones in the ureters (ureterolithiasis). Treatment of stones in the ducts can done with surgery so that needs procedure anesthesia. One of the indications of spinal anesthesia is surgery urology. The patient a 45-year-old male, based on history, examination, and supporting patient was diagnosed with hydronephrosis dextra and during the ureteroscopy (URS) process a stone was found in the ureter of the dextra. Therefore, that done lithotripsy to break up stones. In this patient, it was Spinal anesthesia with Bupivacaine 0.5% 15 mg injected using spinal needle no. 25 G in the L3 - L4 region. During the operation, vital signs in the form of pressure are also monitored for blood, pulse, and oxygen saturation every 5 minutes efficiently and continuously, and administration of intravenous fluids in the form of Ringer's lactate. During the operation the patient's condition was stable. After the operation is complete, observation continues in the recovery room, where vital signs are monitored and assessed bromage scale.
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References
Hall PM. Nephrolithiasis: Treatment, causes, and prevention. Cleve Clin J Med. 2009;76(10):583–91.
Kittanamongkolchai W, Vaughan LE, Enders FT, Dhondup T, Mehta RA, Krambeck AE, et al. The Changing Incidence and Presentation of Urinary Stones Over 3 Decades. Mayo Clin Proc [Internet]. 2018;93(3):291–9. Available from: https://doi.org/10.1016/j.mayocp.2017.11.018
Badan Penelitian dan Pengembangan kesehatan Kementerian Kesehatan RI Tahun 2013. Riset Kesehatan Dasar (Riskesdas) 2013 Penyakit Tidak Menular. Jakarta; 2013. 9 p.
Schlomer BJ. Urologic treatment of nephrolithiasis. Curr Opin Pediatr. 2020;32(2):288–94.
Irwin MG. Anaesthesia for urological surgery. Anaesth Intensive Care Med [Internet]. 2021;22(7):449–53. Available from: https://doi.org/10.1016/j.mpaic.2021.05.006
Armstrong RA, Mouton R. Definitions of anaesthetic technique and the implications for clinical research. Anaesthesia. 2018;73(8):935–40.
Sidemen IGPS, Murthi MCW. Kriteria Penentuan ASA. 2016. p. 3–9.
Hartanto B, Suwarman, Sitanggang RH. Hubungan antara Durasi Puasa Preoperatif dan Kadar Gula Darah Sebelum Induksi pada Pasien Operasi Elektif di Rumah Sakit Dr. Hasan Sadikin Bandung. J Anestesi Perioper. 2016;4(2):87–94.
Reggina BA, Arni D, Azura N, Basuki S, Kedokteran F, Surakarta UM. Teknis Anestesia Subarachnoid Block pada Pasien Hidronephrosis Grade II: Laporan Kasus. 2021;(20):689–95.
Leksana E. Belajar Ilmu Anestesi. Generasi K. Semarang: Bagian Anestesiologi dan Terapi Intensif RSUP Dr Kariadi/FK Undip Semarang; 2017.
Casey WF. Spinal anaesthesia - A practical guide. Updat Anaesth. 2021;
Mardani, I., Kresnoadi, E., & Setyorini RH. Perbandingan Lama Analgesia Bupivakain Hiperbarik + Morfin Intratekal dengan Bupivakain Hiperbarik + NaCl Intratekal pada Pasien yang Menjalani Operasi dengan Anestesi Spinal. J Kedokt. 2017;
Rehatta NM, Hanindito E, Tantri AR, Redjeki IS, Soenarto RF, Bisri DY, et al. Anestesiologi dan Terapi Intensif. Edisi Pert. Jakarta: Percetakan PT Gramedia; 2019.
Musdja MY, Azrifitria. Buku Farmakoterapi Saluran Cerna. Jakarta: UIN Jakarta Press; 2020.
Hijrineli, Soenarjo MSH. Pengaruh Asam Traneksamat pada Profil Koagulasi Pasien yang Mendapatkan Ketorolak. J Anestesiol Indones. 2013;V:183–92.
Tubuh C. Pedoman Cairan Infus. Edisi Revi. Jakarta: PT. Otsuka Indonesia; 2007.
Miller RD, Cohen NH, Erikkson LI, Fleisher LA, Wiener-Kronish JP, Young WL, et al. Miller´s Anesthesia. 9 th Editi. Philadelphia: Elsevier Saunders; 2020. 654–660 p.
Bima Ardika Putra H, Subarnas A, Raya Bandung-Sumedang Km J. Penggunaan Klinis Tramadol Dengan Berbagai Aspeknya. Farmaka. 2019;17(2):244–9.
Fitria WE, Fatonah S, Purwati P. Faktor Yang Berhubungan Dengan Bromage Score Pada Pasien Spinal Anastesi Di Ruang Pemulihan. J Ilm Keperawatan Sai Betik. 2018;14(2):182.
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