Emergency management of intracerebral haemorrhage in hypertensive, alkalotic patients: a case report

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Made Suandika, Rahmaya Nova Handayani, Sekar Mutiara Triya Suryani, Yuniar Melissa Kisdyanti, Valentina Intan Ayu Puspita, Mariah Ulfah

2025 BIO Web of Conferences Vol. 152 Conference paper Cited by 1 Quartile

Abstract

The high incidence of neurosurgical cases involving anaesthesia poses a challenge for anaesthesiologists. This study is a type of case study with an observational descriptive design in a single case which aims to provide a holistic view and description of interventions in anaesthesia surgery with intubation. This is a case study with an novelty on the surgical management of emergency craniotomy in a patient with intracerebral haemorrhage accompanied by hypertension and metabolic alkalosis. The results obtained in the surgery of intracerebral haemorrhage patients focus on reducing intra cranial pressure, expanding the haematoma, maintaining cerebral homeostatis, managing haemodynamic stability and administering appropriate induction doses with postoperative care is monitoring propofol sedation in improving the quality of controlled sleep in the intensive care unit. The conclusion of this case study is the need for well-coordinated perioperative anaesthetic considerations in cases of intracerebral haemorrhage so that emergency craniotomy surgery can be successful and avoid excessive post-anesthetic complications. © The Authors, published by EDP Sciences.

Affiliations

The Graduate Institute of Clinical Medicine Science, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan; Anesthesiology Nursing Study Program, Faculty of Health, Universitas Harapan Bangsa, Indonesia; Nursing Study Program, Faculty of Health, Universitas Harapan Bangsa, Indonesia

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