ANESTHESIA MANAGEMENT IN MODIFIED PARK BENCH POSITION IN NEUROSURGERY : A CASE REPORT

Authors

  • Aprilia Wanda Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Udayana University/Prof. I.G.N.G Ngoerah General Hospital, Denpasar
  • I Putu Pramana Suarjaya Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Udayana University/Prof. I.G.N.G Ngoerah General Hospital, Denpasar
  • Made Gede Widnyana Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Udayana University/Prof. I.G.N.G Ngoerah General Hospital, Denpasar
  • IB Krisna Jaya Sutawan Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Udayana University/Prof. I.G.N.G Ngoerah General Hospital, Denpasar
  • Christopher Ryalino Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Udayana University/Prof. I.G.N.G Ngoerah General Hospital, Denpasar

DOI:

https://doi.org/10.31004/prepotif.v8i2.31222

Keywords:

Anaesthesia, Park Bench Position, Modified, Neurosurgery

Abstract

The modified park bench position enhances surgical exposure while minimizing brainstem manipulation but poses significant anesthetic challenges. This case report aimed to describe the author’s anesthesia management in a modified park bench position for neurosurgery. A 39-year-old woman presented with intermittent headaches, nausea, and vomiting for three months, alongside vision deterioration. She denied loss of consciousness, seizures, weight loss, or trauma. Examination revealed typical vital signs, neurological function, and musculoskeletal integrity. Supporting tests showed elevated SGOT levels and a primary malignant brain tumor with suspected hemorrhage and surrounding vasogenic edema. She underwent craniotomy after fasting and standard anesthesia preparation. An arterial line, premedication, and intubation were administered, followed by five-hour surgery in the modified park bench position. Postoperatively, pain was managed with fentanyl, paracetamol, and ibuprofen. She was monitored in the ICU for seven days and discharged on the eighth postoperative day. In summary, managing primary malignant brain tumors like glioblastoma requires thorough preoperative assessment, precise anesthesia planning, and vigilant intraoperative monitoring for patient safety and successful outcomes. The collaborative effort of neurosurgery and anesthesia teams and postoperative care is vital for patient recovery and underscores the importance of comprehensive perioperative management.

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Published

2024-08-19

How to Cite

Wanda, A. ., Suarjaya, I. P. P. ., Widnyana, M. G. ., Sutawan, I. K. J. ., & Ryalino, C. . (2024). ANESTHESIA MANAGEMENT IN MODIFIED PARK BENCH POSITION IN NEUROSURGERY : A CASE REPORT. PREPOTIF : JURNAL KESEHATAN MASYARAKAT, 8(2), 3679–3687. https://doi.org/10.31004/prepotif.v8i2.31222

Issue

Vol. 8 No. 2 (2024): AGUSTUS 2024

Section

Articles

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Copyright (c) 2024 Aprilia Wanda, I Putu Pramana Suarjaya, Made Gede Widnyana, IB Krisna Jaya Sutawan, Christopher Ryalino

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