Anesthesia nursing care for Mr. K diagnosis of ileus obstruction with hypovolemia, laparotomy surgery with general anesthesia: a case report
Keywords:
General anesthesia, laparotomy, ileus obstruction, hypovolemiaAbstract
Ileus obstruction is a surgical emergency caused by mechanical intestinal obstruction. The method in this study is a descriptive case study approach to explore anaesthesia management for a 77-year-old male patient with ileus obstruction and hypovolemia, who underwent laparotomy at RSUD dr. R. Goeteng Taroenadibrata in August 2024. Through direct observation, we collected insight into his initial condition, the interventions administered, and his hemodynamic responses during and after anaesthesia. The results of this case study are as follows in the pre-anaesthesia; the patient showed signs of hypovolemia with an oxygen saturation of 86% which improved to 96% after using a non-rebreathing mask. During anaesthesia, a hypovolemic pre-shock caused blood pressure to drop significantly to 60/45 mmHg, but with careful administration of norepinephrine and ephedrine, stability was restored. After surgery, the patient was transferred to the ICU in stable condition, with a blood pressure of 150/78 mmHg and oxygen saturation at 98%. The conclusion of this case study emphasizes that managing anaesthesia for ileus obstructive with hypovolemia requires careful anaesthesia management, especially for high-risk patients. This study highlights the importance of thorough assessment and monitoring. Further research with a larger sample size could provide more insights into.
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