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Anestesi Umum Dengan Intubasi ETT Dan Nafas Kendali Pada Tonsilektomi Plus
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LAPORAN KASUS
MANAJEMEN ANESTESI UMUM DENGAN
INTUBASI ETT DAN NAFAS KENDALI
PADA OPERASI TONSILEKTOMI
Pembimbing:
dr. A. Setyo Heru Sucipto, SpAn
Disusun Oleh:
Riandino Suryo Rahmanto 1320221106
Fatia Ayu Ramadhana 1320221142
Mustika Tri Handayani 1320221135
Firdhia Octri 1320221093
KEPANITERAAN KLINIK DEPARTEMEN ANESTESI & REANIMASI
RUMAH SAKIT UMUM DAERAH AMBARAWA
FAKULTAS KEDOKTERAN UPN “VETERAN” JAKARTA
PERIODE 29 JUNI 2015 – 8 JULI 2015
LEMBAR PENGESAHAN
LAPORAN KASUS
Manajemen Anestesi Umum dengan Intubasi ETT dan Nafas Kendali
pada Operasi Tonsilektomi
Diajukan Sebagai Tugas untuk Memenuhi Syarat
Mengikuti Ujian Kepaniteraan Klinik Departemen Anestesi & Reanimasi
Rumah Sakit Umum Daerah Ambarawa
Disusun Oleh:
Riandino Suryo Rahmanto 1320221106
Fatia Ayu Ramadhana 1320221142
Mustika Tri Handayani 1320221135
Firdhia Octri 1320221093
Telah Dipresentasikan Pada Tanggal:
Agustus 2015
Telah disetujui oleh pembimbing:
Ambarawa, Agustus 2015
Pembimbing
dr. A. Setyo Heru Sucipto, SpAn
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DAFTAR ISI
HALAMAN JUDUL...............................................................................................................i
LEMBAR PENGESAHAN....................................................................................................
ii
DAFTAR ISI.........................................................................................................................iii
BAB I PENDAHULUAN..................................................................................................... 1
I.1 LATAR BELAKANG...................................................................................................... 1
I.2 PERUMUSAN MASALAH............................................................................................. 2
I.3 TUJUAN........................................................................................................................... 2
I.4 MANFAAT.......................................................................................................................3
BAB II ILUSTRASI KASUS...............................................................................................4
II.1 IDENTITAS PASIEN......................................................................................................
4
II.2 KUNJUNGAN PRAANESTESI..................................................................................... 4
II.3 RESUME......................................................................................................................... 6
BAB III LAPORAN ANESTESI.........................................................................................
8
III.1 PREOPERASI................................................................................................................ 8
III.2 PREMEDIKASI............................................................................................................. 9
III.3 INTRAOPERASI........................................................................................................... 9
III.4 POSTOPERASI............................................................................................................
10
III.5 TERAPI CAIRAN........................................................................................................11
BAB IV TINJAUAN PUSTAKA.......................................................................................
13
IV.1 ANESTESI...................................................................................................................13
IV.2 ANESTESI UMUM..................................................................................................... 13
iii
IV.2.1 DEFINISI ANESTESI UMUM............................................................................13
IV.2.2 METODE ANESTESI UMUM............................................................................14
IV.2.3 FAKTOR-FAKTOR YANG MEMPENGARUHI ANESTESI UMUM.............14
IV.2.4 STADIUM ANESTESI UMUM.......................................................................... 15
IV.2.5 INDIKASI ANESTESI UMUM...........................................................................
16
IV.2.6 KELEBIHAN DAN KEKURANGAN ANESTESI UMUM...............................
17
IV.2.7 KOMPLIKASI ANESTESI UMUM....................................................................17
IV.2.8 KUNJUNGAN PRA ANESTESI UMUM...........................................................19
IV.2.9 PENILAIAN KLASIFIKASI ASA...................................................................... 21
IV.2.10 PENILAIAN SKOR MALLAMPATI............................................................... 22
IV.2.11 PERSIAPAN PERALATAN ANESTESI UMUM............................................22
IV.2.12 PREMEDIKASI ANESTESI UMUM............................................................... 25
IV.2.13 INDUKSI ANESTESI UMUM..........................................................................26
IV.2.14 RUMATAN ANESTESI UMUM...................................................................... 28
IV.2.15 TEKNIK ANESTESI UMUM........................................................................... 29
IV.2.16 PEMANTAUAN PASCA ANESTESI UMUM DI RUANG PEMULIHAN... 31
IV.2.17 PENILAIAN SKOR ALDRETTE..................................................................... 31
IV.3 LARINGOSKOPI DAN INTUBASI TRAKEA..........................................................32
BAB V PEMBAHASAN.................................................................................................... 34
DAFTAR PUSTAKA...........................................................................................................
36
iv