The role of the anesthesiologist in laparoscopic biopsy drainage in geriatric patients with liver abscess and pneumonia
Keywords:
Anesthesiology, Geriatric, Liver Abscess, Nitrous Oxide BronkopneumoniaAbstract
Risk factors for the development of liver abscess include diabetes mellitus, hepatic cirrhosis, male gender, elderly, immunocompromised state, and those with proton pump inhibitor use. Patients usually have fever, complain of chills, night sweats, malaise, nausea or vomiting, right upper quadrant pain, and anorexia. Diagnosis was made based on anamnesis in the form of complaints of abdominal pain throughout the abdomen since 3 days before admission to the hospital, the initial pain was felt in the upper right abdomen since 9 days ago then moved to the entire abdomen, persisted and got heavier, nausea was present, vomiting was absent, fever was present, complaints of shortness of breath were present, the patient came in a state of tightness using respiratory support NRM 10 liters Spo2 83%, laboratory examination was low Eosinophils 1.1% and high Neutrophils associated with infection. Microbiological examination found Escherichia Coli bacteria (ESBL+) which is a common cause of Bronchopnemonia.
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