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