Penanganan Ventilasi Pascaoperasi pada Penderita Tumor Intradural Ekstradural Medula Spinalis Servikal 1-3: Sebuah Laporan Kasus

Abstract

Introduction: Surgical resection of spinal cord tumors can pose significant challenges in airway management. Most patients undergoing spinal cord tumor resection are managed via endotracheal intubation, controlled ventilation during surgery and post operative ventilation support. Case: A 43 year old woman came in complaining of back neck pain that spread to both right palms, especially the left side, then the patient complained of weakness in all limbs felt throughout the day and making it difficult for her to carry out daily activities. A tingling sensation is felt from the tips of the toes to the front of the neck. The patient underwent a left-sided far lateral approach craniotomy and tumor excision, the operation lasted 7 hours 30 minutes with stable hemodynamics during anesthesia and surgery. Post-operatively, ventilation was supported with a ventilator in the ICU and laboratory checks were carried out including routine blood, arterial blood gas (BGA) and electrolytes. After the second day the endotrcheal tube can be removed and the patient returns to the normal room. The patient went home on the fifth day and was outpatient control. Discussion: Anesthetic management in cases of cervical spinal cord tumors requires special attention, especially postoperative ventilation assistance. With good monitoring and ventilation adjustments as needed, patients can be quickly weaned from the ventilator. Conclusion: Anesthetic management in patients undergoing surgery for spinal cord tumors is complex. A complete understanding of tumor type, location, and mass effect is needed in ventilation management in post-operative spinal cord tumor patients.

Keywords

• airway
• anesthesia management
• spinal cord tumor