Case study: Nursing care of a patient undergoing general anesthesia for brain tumor surgery with an obese patient.

Abstract

     Anesthesia for brain surgery May cause direct injury to the brain. Anesthesia in brain surgery patients in addition to making the patient sleep, cannot remember or move during surgery. And treatment of post-operative pain You must monitor for injuries from surgery or complications from surgery as little as possible. Therefore, the anesthetist who provides anesthesia needs to have a good understanding of brain physiology and the pathophysiology of intracranial hypertension. Maintains adequate blood flow to the brain during surgery. To reduce injury to the nervous system anesthesia also plays a role in positioning, administering fluids, and monitoring blood flow during surgery. and post-operative care in a case study of a patient undergoing brain tumor surgery who was also obese.

     Results for the case study It was found that from the evaluation, problems before anesthesia were found, including the patient was obese (BMI 37.59) and had a large brain tumor (4.8x5.8x4.4 cm.) in the right sphenoid meningioma. During anesthesia, there were problems with brain swelling, long surgery, and blood loss during surgery, 2400 ml. After anesthesia, the patient had to be placed on a breathing tube for further care in the intensive care unit. After 1 day of surgery, the patient felt good. There were no serious complications. The breathing tube was removed and transferred to the general ward. was allowed to go home on the 7th day after surgery, totaling 9 days of hospital stay. The results of the study can be used for patients who come to receive anesthesia services for brain surgery. and can be adapted for use with groups of patients other than brain tumor patients who come to receive anesthesia services.