Anesthesia Management of Patients with Redo Craniotomy: Cases of Supratentorial Recidive Tumors


  • Dewi Yulianti Bisri Department of Anesthesiology and Intensive Care Medical Faculty, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung, West Java
  • Gusti Ayu Pitria Septiani Department of Anesthesiology and Intensive Care Medical Faculty, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung, West Java
  • Michaela Arshanty Limawan Department of Anesthesiology and Intensive Care Medical Faculty, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung, West Java
  • Tatang Bisri Department of Anesthesiology and Intensive Care Medical Faculty, Universitas Jenderal Achmad Yani Cimahi/Santosa Bandung Central Hospital, Bandung, West Java



case study, brain tumor, redo, craniotomy


Background: Compared to non-surgical therapies, redo craniotomy is linked to improved neurological state and a lower mortality rate. But it also carries a higher price tag and complication risk.

Aim: The researchers would like to discover anesthesia management of patients with redo craniotomy in patients with supratentorial recidive tumors.

Method: The researchers used the case study method. Two cases of redo craniotomy performed at the Santosa Hospital Bandung Central Indonesia are presented. The first case involved a 24-year-old male with a supraorbital tumor, GCS 15, and the second case involved a 43-year-old woman with  meningiomas, GCS 15. The first patient underwent redo craniotomy six (6) months after the first operation, while the second patient underwent the procedure three (3) months after the first operation. These patients were subjected to anesthesia using the same techniques and anesthetic drugs. patients were positioned in a neutral position with 20-30 degree head up, voluntary hyperventilated, and adequate anxiolytics.

Findings: The bleeding volume of the patients was 800 mL for the first patient and 1,000 mL for the second, and the fluid balance was maintained using the ringerfundin balance solution. The durations of the operation of the first and second patients were  4 and 6.5 hours, respectively. Postoperatively, patients were treated in the ICU for one day under mechanical ventilation and were transferred to the ward after extubation. Better intraoperative care, improved surgical skills, surgical equipment, and better intensive care support are likely to improve outcomes in patients with redo craniotomy.


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