Anestesi Umum Dengan Intubasi ETT Dan Nafas Kendali Pada Tonsilektomi Plus

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

DAFTAR ISI 2

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 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 3

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

4