Anestesi Inhalasi - Dr Buyung

Embed Size (px)

Citation preview

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    1/41

    Anestesi InhalasiBUYUNG HARTIYO LAKSONO

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    2/41

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    3/41

    Maintenan%e

    O&at anestesia 'm'm(ti)a*inhalasi+

    S',,lement na!ti

    .el'm,'h tt

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    4/41

    O&at anestesia 'm'm

    #the!

    Halthane

    #n0'!ane

    Is0'!ane

    Se)0'!ane

    $es0'!ane

    Ba' (-+* te!&aa!* m'!ah

    Ha!'m* li)e!* a!itmia

    Ha!'m 2* in3al* %n

    Ha!'m 2* saa! %e,at* m

    Ha!'m5* saa! %e,at* m

    Ha!'m22* saa! %e,at*

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    5/41

    CH3|

    CH2

    |O|

    CH2|

    CH3

    Di-ethyl-e

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    6/41

    .e!&aninan si7at

    6

    ether halothan sevofluran desfluran

    Induksi sukar mudah sangatmudah

    sukar

    Titik

    didih36.2 50.2 58.5 22.8

    Blood/gas

    part.coeff12.1 2.3 0.68 0.2

    Tek.uap

    pada 20"60 23 160 66#

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    7/41

    a!mali &at-anestesia

    #7e &at ,aa t'&'h

    &!eathin

    %i!%'latin

    &!ain

    li)e!

    ine9

    en%!ine : imm'nes9stem

    #7e t'&'h ,aa &at

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    8/41

    .ath

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    9/41

    Anesthesia has a mn,l9

    n ,

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    10/41

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    11/41

    Minim'm Al)ela! >n%ent!atin(MA>+

    Sat' %a!a menam&a!an ,tensi OA .aa ealaman anestesia seta!a 1 MA>* 3i

    ila'an insisi* ?@ ,asien masih &e!e!a

    Aa! tia aa lai ,asien &e!e!a ,e!l' 1= MA>

    Titi 1 MA> i%a,ai ,aa ,e!sen nsent!asi 9an

    &e!&ea-&ea anta! OA %nth 1 MA> halthane aa! ?=;6@

    ia %a!!ie! as i&e!i NCO ;?@* maa ,e!sennsent!asi men'!'n

    %nth 1 MA> halthane aa! ?=CD@

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    12/41

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    13/41

    Minim'm Al)ela! >n%ent!atin (MA>+Knsent!asi (,e!sen+ 'nt' men%a,ai 1 MA>

    1/

    $2 100% &2$ '0%

    (alothane 0.'6 0.2

    Isoflurane 1.15 0.56

    )evoflurane 2.0 0.66

    *esflurane 6.0 2.8

    &2$ 105%

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    14/41

    Anestesia men9e&a&an e,!esi7'nsi )ital

    Nafas: s'm&atan 3alan na7as*

    men'!ani na7as (hi,)entilasi+

    henti na7as

    Sirkulasi: teanan a!ah t'!'n

    nai ta te!at'!

    henti 3ant'n

    Kesadaran: men'!'n sam,ai %ma

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    15/41

    #7e ,a,e!na7a

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    16/41

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    17/41

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    18/41

    18

    .e!'&ahan ,>OC ai&at anestesia(hi,)entilasi+,>OC a!te!ia

    #n0'!ane

    Is0'!an

    Haltha

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    19/41

    #7e ,aaa!i)as'

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    20/41

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    21/41

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    22/41

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    23/41

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    24/41

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    25/41

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    26/41

    #7e ,aa ta

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    27/41

    #mn I #e! 1D8

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    28/41

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    29/41

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    30/41

    #7e ,aa in3al

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    31/41

    #7e ,aa hati

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    32/41

    #7e ,aa nt!asi 'te!'s

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    33/41

    . 7 i i t h

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    34/41

    .e!7'si* nai an teanan a!ahha!'s i mnit! selama anestesia

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    35/41

    Mnit!in selama a

    a!i !a&anai

    Mata lihat na7as

    Telina ena!

    3ant'n

    Resusitator

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    36/41

    .e!l' mn- teanan a!ah- #>G- s'h'- sat'!asi OC

    - ealaman stai'm anest

    .e!l' alat 'nt' &e!tina- !es'sitat!- eE&!ilat!- !es,i!at!

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    37/41

    >ATAT S#MUA OBAT

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    38/41

    STAG#S O #TH#R AN#STH#SIA

    STAG# IF (Stae 7 analesia+ (!m analesia t lss 7%ns%i'sness+

    Res,i!atin is !e'la!

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    39/41

    STAG# III F ( Stae 7 Anesthesia+F

    .lane IF ( !m !h9thmi% !es, t %essatin 7 e9em)ement+Res,i!atin is !e'la!

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    40/41

    Stae IF (Stae 7 )e!se+(Me'lla!9 .a!al9sis+

    A,nea

    .',il ilate an nn !ea%tin t liht=

    NOTE: ithdra!al of anestheti" a#ents andad$inistration of %&&' o(y#en li#htens anesthesia!ith re"o)ery*

  • 7/24/2019 Anestesi Inhalasi - Dr Buyung

    41/41

    T#RIMA KASIHJJJ