Anesthesia Management in Laparotomy of Gastric Perforation Peritonitis: A Case Report and Literature Review
DOI:
https://doi.org/10.33086/mhsj.v7i02.4795Keywords:
Gastric perforation, Peritonitis, Anesthesia managementAbstract
Gastric perforation has the potential to induce acute peritonitis, leading to intense pain and a significant mortality risk. A female patient, aged 67, presented with symptoms of intense abdominal pain affecting all regions of the abdomen and extending to the shoulder. The pain does not alleviate with rest and is aggravated by physical activity and coughing. The Chest X-ray examination revealed the presence of cardiomegaly, characterized by an enlarged heart and aortic elongation. The Abdomen X-ray examination revealed the presence of a pneumoperitoneum. Laparotomy may be conducted in individuals with gastric perforation to identify the pneumoperitoneum's underlying aetiology. The utilization of a concurrent administration of spinal anaesthesia (SA) and general anaesthesia (GA) demonstrates the effective reduction of hemodynamic impact during pneumoperitoneum while avoiding any associated adverse effects.
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References
Hapsari TM. Penatalaksanaan Pasien Bedah Saluran Cerna (Perforasi Gaster) di Rumah
Sakit Emanuel Banjarnegara. JNH (Journal of Nutrition and Health). 2021;9(2):8-12.
Qorina S. Profil Pasien Perforasi Gaster di RSUD Kolonel Abundjani Bangko pada Tahun
Jurnal Ilmu Kesehatan Indonesia. 2021;2(1):17-20.
Andrian A, Ikhsan R, Siregar WY. Laporan Kasus: Perforasi Gaster. AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh. 2022;8(1):81-7.
Sirait RH. Buku ajar pemantauan hemodinamik pasien. UKI Press; 2020.
Mangku G, Senapathi TGA. Buku ajar ilmu anestesia dan reanimasi. Jakarta: Indeks. 2010.
Ghodki PS, Sardesai SP, Naphade RW. Combined spinal and general anesthesia is better than general anesthesia alone for laparoscopic hysterectomy. Saudi journal of anaesthesia. 2014;8(4):498.
Yu, G., Wen, Q., Qiu, L., Bo, L., & Yu, J. (2015). Laparoscopic cholecystectomy under spinal anaesthesia vs. general anaesthesia: a metaanalysis of randomized controlled trials. BMC anesthesiology, 15, 176. https://doi.org/10.1186/s12871-015-0158-x
Organisation WH. Definition of an older or elderly person. 2010.
Singh S, Bajorek B. Defining ‘elderly’in clinical practice guidelines for pharmacotherapy. Pharmacy practice. 2014;12(4).
Staheli B, Rondeau B. Anesthetic considerations in the geriatric population. 2021.
Hopkins TJ, Raghunathan K, Barbeito A, Cooter M, Stafford-Smith M, Schroeder R, et al. Associations between ASA Physical Status and postoperative mortality at 48 h: a contemporary dataset analysis compared to a historical cohort. Perioperative Medicine.2016;5(1):1-6.
Daabiss M. (2011). American Society of Anaesthesiologists physical status classification. Indian journal of anaesthesia, 55(2), 111–115. https://doi.org/10.4103/0019-5049.79879
Gill R, Goldstein S. Evaluation and Management of Perioperative Hypertension. [Updated 2023 Aug 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557830/
Bajwa, S. J., & Kulshrestha, A. (2016). Anaesthesia for laparoscopic surgery: General vs regional anaesthesia. Journal of minimal access surgery, 12(1), 4–9. https://doi.org/10.4103/0972-9941.169952
Karcz, M., & Papadakos, P. J. (2013). Respiratory complications in the postanesthesia care unit: A review of pathophysiological mechanisms. Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR, 49(4), 21–29.
Xiong X-H, Chen C, Chen H, Gao R, Deng QY, Cai X-W, et al. Effects of intravenous and inhalation anesthesia on blood glucose and complications in patients with type 2 diabetes mellitus: study protocol for a randomized controlled trial. Annals of Translational Medicine. 2020;8(13).
Lines D. Hypertension and anaesthesia. South African Family Practice. 2014;56(5):9-15.
Hwang JH, Kim BW. Comparison of General Anesthesia and Combined Spinal and Epidural Anesthesia for Gasless Laparoscopic Surgery in Gynecology. JSLS: Journal of the Society of Laparoscopic & Robotic Surgeons. 2022;26(2).
Luchetti M, Palomba R, Sica G, Massa G, Tufano R. Effectiveness and Safety of Combined Epidural and General Anesthesia for Laparoscopic. Regional Anesthesia. 1996;21(5):465-9.
Long, E. F., & Mathews, K. S. (2018). The Boarding Patient: Effects of ICU and Hospital Occupancy Surges on Patient Flow. Production and operations management, 27(12), 2122–2143. https://doi.org/10.1111/poms.12808
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