anestesi spinal
DESCRIPTION
spinal anesthesiaTRANSCRIPT
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ANESTESI SPINAL
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INDIKASI
• OPERASI ABDOMEN BAGIAN BAWAH• OPERASI EKSTREMITAS BAWAH
KONTRAINDIKASI• HIPOVOLEMIK (SHOCK)• GANGUAN PEMBEKUAN DARAH• INFEKSI SISTEMIK• INFEKSI DI TEMPAT TUSUKAN JARUM SPINAL• TEKANAN INTRAKRANIAL MENINGKAT• PENOLAKAN PASIEN
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KONTRAINDIKASI
• HIPOVOLEMIK (SHOCK)• GANGUAN PEMBEKUAN DARAH• INFEKSI SISTEMIK• INFEKSI DI TEMPAT TUSUKAN JARUM SPINAL• TEKANAN INTRAKRANIAL MENINGKAT• PENOLAKAN PASIEN
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PERSIAPAN• INFORMED CONSENT• PASANG INFUS – BERIKAN CAIRAN (PRELOAD)• PASANG ALAT-ALAT MONITORING• UKUR TANDA-TANDA VITAL – BASELINE• SIAPKAN OBAT2 :
ANESTETIKA LOKAL : bupivacain dkkPREMEDIKASI : SA, antimuntah, sedasiKOMPLIKASI : SA, ephedrin (larutan 5mg/cc), adrenalinAJUVAN : morphin, pethidin, fentanyl
• ALAT-ALAT : MESIN ANESTESI DAN RESUSITASI
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KOMPLIKASI
• HIPOTENSI• ‘HIGH SPINAL’ – GANGGUAN OTOT-OTOT
PERNAFASAN – CARDIAC ARREST• PDPH (POSTDURAL PUNCTURE HEADACHE)• INFEKSI SISTIM SARAF PUSAT• KERACUNAN OBAT ANESTESI LOKAL• ALERGI OBAT ANESTESI LOKAL• SHIVERING
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ANTISIPASI
• HIPOTENSI : PRELOADING, VASOPRESSOR• HIGH SPINAL : SIAPKAN ALAT2 RESUSITASI• INFEKSI : LAKUKAN DG CARA ASEPSIS• PDPH : POSISI BERBARING, GUNAKAN JARUM
PALING KECIL
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