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Durante Operasi: Tindakan General Anestesi Pada Epidural Hematom

1. The patient, Naupal Akbar, a 20-year-old male, presented with headache and vomiting for 2 days after falling from a motorcycle. 2. Examination showed normal vital signs. CT scan revealed an epidural hematoma. 3. The patient underwent general anesthesia for craniotomy to evacuate the epidural hematoma. Intraoperative monitoring and fluid management were performed appropriately.

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Siti Khoirunnisa
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34 views2 pages

Durante Operasi: Tindakan General Anestesi Pada Epidural Hematom

1. The patient, Naupal Akbar, a 20-year-old male, presented with headache and vomiting for 2 days after falling from a motorcycle. 2. Examination showed normal vital signs. CT scan revealed an epidural hematoma. 3. The patient underwent general anesthesia for craniotomy to evacuate the epidural hematoma. Intraoperative monitoring and fluid management were performed appropriately.

Uploaded by

Siti Khoirunnisa
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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L apo r an Kas us

TIND AK A N G E NE R AL AN A L ANE A NE S TE S I P AD TO M A D A E P ID U R AL A L HE MA MATO


Oleh Em a , Ma ru pa Pembimbing,
Dr. Rina Manurung, Sp.An. Dr. Hanafi, Sp.An. Dr. Syamsul Bahri, Sp.An.
K K S B a g ia n An es t e s io l o g i R S U Dr . P ir n g a i Me a n Ma r et ! " " #
Erna & Marupa

I . ANAMNESIS PRIBADI
Na m a Um u r J en is Kel. Ber a t Bd n Tgl. s k !" : : : : : Na u p a l Ak b a r 2 0 ta h u n La k i-la k i 55 kg 05 a re t 2 0 0 #

II. ANAMNESIS PENYA I!


KU : " a k it k ep a la $ p u s in g T : %a l in i d ia la m i &s s e'a k 2 h a r i (l. Kr n . d it a b r a k s ep ed a m &t &r . " a a t 'a t u h &s p in gs a n ) m u a l *+,) m u n t a h *+, " b ln (a &s t lh b er &b a t $ d ir a -a t d i !" !.T : Tid a k 'ela s !./ : Tid a k 'ela s

a t er n a

Erna & Marupa

III.

EADAAN PRABEDAH
". S#a#us presen#
Sens. TD Pols L inn! : CM : 110/70 mmHg : 72 x/menit " l m b t s norm l RR : 20 x/mnt T : Afebris

ESIMP'(AN
12 2bloo"3 : Te+ n n " r # : 4re+5ensi n " : Ri5 ! t #i0ertensi : Hb : Perf$si 0erifer : 2br in3 : Sensori$m : Refle+s 0 tologis : P rese/#emi0 rese : 2bl ""er3 : 1 +. : 263 7 2bo5el3 . : 1 b. : 263 7 2bone3 : Ti" + " +el in n : ASA 9 8le+tif 110/70 mmHg 72 x /menit 2-3 1%&' gr( H ng t& mer # CM 2-3 2-3

$. Pemeri%saan Penun&ang
D r # r$tin : Hb 1%&' gr(& HT )*(& Le$+osit 10.,00/mm) CT-S. n : Di/$m0 i 0er" r # n 0 " e0i"$r l

1)

ESIMP'(AN
ea)aan pasien sebelum *perasi +

1% 1' 1*

Di gnos St t$s 4isi+

: 80i"$r l Hem tom

11 2bre t#3 :Pern f s n

: S0ont n 4re+. 0ern f s n : 20 x/menit L inn! " l m b t s norm l


Erna & Marupa

Ren. n Anestesi : :ener l Anestesi


Erna & Marupa

PERSIAPAN PRA ANES!ESI


". Persiapan Pasien
; P sien 0$ s se/ + / m 01.%' < 0,.%' =91 ; Pem s ng n inf$s "g Ringer l +t t

PENA!A(A SANAAN ANES!ESI


". Sebelum In)u%si
; P sien "ib ring+ n "i me/

$. Persiapan Ala#
; Me/ o0 > 0er ng+ t o0er si ; Mesin nestesi > 0er ng+ t nestesi $m$m ; 9nf$s set > Abo. t# 7o. 1?

o0er si "lm 0osisi s$0ine ; 9nf$s RL ter0 s ng "i t ng n + n n > m nset "i + +i +iri ; Peng$+$r n TD& HR& RR

; ; ; ; ;

S0$it Stetos+o0 8TT 7&' D$+ steril& S$.tion set @ ss steril& 0lester

$. Saa# Anes#esi
; Preme"i+ si "iberi+ n SA 0&2' mg& Pet#i"ine '0 mg iC

,. Oba#-Oba# yang Dipa%ai


Preme"i+ si Me"i+ si : S$lf t Atro0in : 0&2' mg Pet#i"ine : '0 mg : P#entot l : 2'0 mg S$..!nil C#olin : *0 mg 0,.'' =91: Tr .ri$m : 20 mg 0,.'? =91: Di Ae0 m: 10 mg 10.1' =91: Tr .ri$m : 10 mg 10.%? =91: Tr .ri$m : 10 mg 10.'0 =91: Tr ns min : 2'0 mg M inten n.e : 72B : B2 : % : 2 L/menit 8t#r ne : 0&' Col( : 0,.'0 =91
Erna & Marupa

: 0,.%' =91

; ; ; ;

9n"$+si "gn Pent#ot l 2'0 mg iC& se. r 0erl # n 9n/e+si SC *0 mg iC sbg s#ort A.ting M$s.le Rel x nt L l$ "i0reo+sigen si sel m )-' menit seb n! + )-' L Ses$" # it$ "i0 s ng 8TT "gn .e0 t besert .$ff/b lon !g " "i 8TT b lon "i0om0 . H$b$ng+ n 8TT "gn mesin nestesi > l ngs$ng +ontrol 0ern f s n "gn flo5 meter 20 sti+ n 8TT 0em s ng nn! ben r "gn men"eng r+ n s$ r 0ern 0 s n "i " " n! 3 > "iin/e+si+ n Tr .ri$m 20 mg sbg long .ting m$s.le rel x nt ; Pemberi n 72B % L& B2 2 L > 8t#r ne 0&' Col( sbg m inten n.e nestesi
Erna & Marupa

"/. "$. ".. Nilai 1. 0. /. $. . .2./3 ".... ".."3 "..,. "../3 ""... 4am 56IB7

,. Duran#e Operasi
; Mem0ert # n+ n > monitor . ir n inf$s

PERHI!'N8AN 9AIRAN
; Di gnos P s. 1e" #

; ; ; ; ;

Memonitor TD& HR& RR seti 0 1' menit HR 2x/mnt3 M iten n.e 72B : B2 D % L : 2 L& 8t#r ne 0&' Eol( Mem0ert # n+ n rel +s si otot RR 2x/mnt3 Monitoring 0er" r # n Monitoring sir+$it 0 + # " +ebo.or n t $ ti" +

TD 2mmHg3 Sistole

; ; ; ; ; ; ; ; ;

: Post Cr niotom! /i 80i"$r l Hem tom Fenis Pembe" # n : Cr niotom! Fenis Anestesi : :ener l Anestesi L m Anestesi : 0,.%' < 11.10 L m B0er si : 1&' / m :olong n B0er si : Se" ng 1er t 1 " n P sien : %' +g L m P$ s : ?/ m C ir n 0engg nti 0$ s D 2 .. x 11 x l m 0$ s D 2 .. x '' +g x ? / m D ??0 .. @eb$t$# n . ir n sel m o0er si 9=L D 0&' x 11 x l m o0er si D 0&' x '' x 1&' D %1 .. 2"ib$l t+ n3 Pengg nti 0er" r # n @ ss D 20 x ' .. D 100 .. D 100 6 %00 D '00 .. S$.tion D %00 ..
Erna & Marupa

81E D 70 x 11 D ?0 x '' +g @ teter D 200 ..

D )?'0 ..

; @eb$t$# n . ir n 2% / m 0ost o0er si D C ir n m inten n.e / 2% / m < +elebi# n . ir n D 2.200 < )' .. D 2.1*' .. F$ml # tetes 0ermenit D 20 tetes x b n! + . ir n 2% m x *0 menit D 20 x 2.1*' D )0&07gtt/mnt m +ro 1.%%0

; @eb$t$# n . ir n tr $m / ring n D * ../+g11// m D * x '' x 1 D ))0 .. ; Peng$ 0 n D * .. x 11 x l m o0er si D * .. x '' x 1&' D %,' .. ; C ir n M inten n.e D %0 .. / +g11 / 2% / m D %0 x '' /2% / m D 2.200 ../2% / m ; @eb$t$# n . ir n "$r nte o0er si D '0( 2. ir n 0engg nti 0$ s 3 6 0er" r # n 6 +eb$t#n . ir n tr $m / ring n 6 0eng$ 0 n 6 + teter D '0( 2??03 6 '00 6 ))0 6 %,' 6 200 D 1.,*' .. ; 1 l n.e C ir n A. F$ml # Pem s$+ n RL D % x '00 .. D 2.000 .. 1. F$ml # +eb$t$# n . ir n 1 l n.e . ir n D 1.,*' ..
Erna & Marupa

D )0 gtt/menit m +ro

PEN8OBA!AN POS! OPERASI


; ; ; ; ; ; P$ s s/" 0erist lti+ $s$s 263 norm l 9E4D RL )0 gtt/menit m +ro 9n/e+si So.l C 1 gr/? / m 9E 9n/e+si Tr gesi. 1 m0$l/? / m 2+/03 9M 9n/e+si 7ex '00 mg/? / m 9E 9n/e+si Hex r 1 m0$l/? / m 9E.
Erna & Marupa

Erna & Marupa

D A < 1 D 2.000 < 1.,*' .. D )' ..

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