Laporan Kasus Koas Anestesi

July 29, 2022 | Author: Anonymous | Category: N/A
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KNK C \FIMNHVEVNI >.> Entnr Kfenjnia

Npfimcsctcs `frupnjni jnsus iyfrc pfrut ynia sfrcia tfrbnmc mni `f`kutuhjni pfiagkntni gpfrnsc pnmn ninj-ninj mni mfwnsn mc knwnh u`ur 6< tnhui, mfiani puionj jfbnmcni pnmn uscn mfjnmf jfmun mni jftcan ynctu uscn >8 mnrc jfsfeuruhni =4< jnsus. \nmn tnhui ;

 

Ce`u Nifstfsc nmnenh onknia ce`u jfmgjtfrni ynia `f`pfenbnrc tntnenjsnin uituj `f―`ntcjni‐ rnsn, kncj rnsn iyfrc, tnjut mni m ni rnsn tcmnj iyn`ni ynia enci sfhciaan pnscfi iyn`ni mni ce`u ynia `f`pfenbnrc tntnenjsnin

uituj

`f`pfenbnrc

tntnenjsnin

uituj

`fibnan

ntnu

`f`pfrtnhnijni hcmup mni jfhcmupni pnscfi sfen`n `fianen`c `fianen`c ―jf`ntcni‐ njcknt gknt nifstfsc.> \cechni nifstfsc ynia mcauinjni pnmn gpfrnsc npnfimcsctcs nmnenh nifstfsc rfacgine (spcine ntnu fpcmurne) ntnu nifsthfscn u`u` `feneuc pcpn fimgtrnjfn mni indns jfimnec npnkcen nmn pfr`citnni jhusus mnrc pnscfi.Nifstfsc rfacgine nmnenh hn`kntni c`pues iyfrc suntu  knacni tukuh sf`fitnrn pnmn c`pues synrnd sfisgrcj, sfhciaan c`pues iyfrc mnrc sntu knacni tukuh mckegjcr uituj sf`fitnrn (rfvfrsckfe). Duiasc `gtgrcj mnpnt tfrpfianruh sfknacni ntnu sfeuruhiyn, tftnpc pnscfi tftnp snmnr Nifstfsc spcine efkch mcsujnc uituj kfmnh mnrc thgrnjne >< jfknwnh mcjnrfinjni gisft ofpnt, tfjicj sfmfrhnin, rfentcd `umnh mcenjujni mni `fic`kuejni rfenjsnsc gtgt ynia sf`purin mcknimciajni mfiani nifstfsc fpcmurne. ; 

;

 

KNK CC ]CIBNVNI \V_]NJN

;.> Nifstfsc [facgine ;.>.>  Mfdcicsc Nifstfsc [facgine

Nifstfsc rfacgine nmnenh hn`kntni c`pues iyfrc suntu knacni tukuh sf`fitnrn pnmn c`pues synrnd sfisgrcj, sfhciaan c`pues iyfrc mnrc sntu  knacni tukuh mckegjcr uituj sf`fitnrn (rfvfrsckfe). Duiasc `gtgrcj mnpnt tfrpfianruh sfknacni ntnu sfeuruhiyn, tftnpc pnscfi tftnp snmnr. s nmnr.>,; 

;.>.;  \f`knacni Nifstfsc [facgine

-  Kegj sfitrne (kegj ifurgnjscne), ynctu `fecputc kegj spcine, fpcmurne mni jnumne. ]cimnjni cic `frupnjni tcimnjni ynia sfrcia mcjfrbnjni. -  Kegj pfrcdfr (kegj snrnd), `csneiyn nifstfsc tgpcjne, cidcetrnsc egjne,  kegj enpniani, mni nineafscn rfacgine citrnvfin.> 

;.>.?  Nifstfsc _pcine

Nifstfsc spcine (citrntfjne, citrnmurne, sukmurne, suknrnjhigcm) cnenh nifstfsc rfacgine mfiani tcimnjni pfiyuitcjni gknt nifstfsc egjne jf mnen` runia suknrnjhigcm. Enrutni nifstfsc egjne ynia mcsuitcjni pnmn runia suknrnohigcm njni `f`kegj jgimujsc c`pues synrnd. ?Vituj `fionpnc oncrni sfrfkrgspcine, `njn bnru` suitcj njni `fif`kus jutcs, sukjutcs,

Ecan`fitu`

_uprnspcigsu`,

Ecan`fitu`Citfrspcigsu`,

Ecan`fitu`Denvu`, runia fpcmurne, murn`ftfr, mni runia suknrnohigcm. ; @fmuen spcinecs kfrnmn mcmnen` jninecs spcinecs mcjfececiac gefh oncrni sfrfkrgspcine, mckuiajus gefh `ficiafis (murn`ntfr, ef`nj mni  pefjsus vfigsus). \nmn mfwnsn kfrnjhcr sftciaac E>, pnmn ninj E; mni  pnmn knyc E?. Gefh jnrfin ctu, nifstfsc ntnu nineafsc nine afsc spcine mcenjujni pnmn runia suknrnohigcm mc mnfrnh nitnrn vfrtfkrn E;-E? ntnu E?-E= ntnu E=E6. ?

?

 

An`knr >. Nifstfsc _pcine 

]frmnpnt tcan knacni synrnd ynctu `gtgr, sfisgrc mni nutgig`. @gtgr `fiyn`pncjni pfsni jf gtgt uituj kfrjgitrnjsc mni jftcjn mc kegj, gtgt njni `fianen`c pnrnecscs. _ynrnd sfisgrc njni `fiahnitnrjni sfisnsc sfpfrtc rnknni mni iyfrc jf su`su` tuenia mni jf gtnj, sfmniajni synrnd ntgig` njni `fiagitrge tfjnini mnrnh, inmc, jgitrnjsc usus mni duiasc enciiyn ynia mceunr jfsnmnrni. \nmn u`u`iyn, sfrnkut gtgig` mni iyfrc ynia pfrtn`n jnec mckegj mni sfrnkut `gtgr ynia tfrnjhcr. hne cic njni `f`cecjc tc`kne knecj ynia pfitcia. Ogitghiyn, vnsgmcentnsc mni  pfiuruini tfjnini mnrnh ynia `fimnmnj `uiajci njni tfrbnmc jftcjn sfrnkut gtgig` mckegj mni pnscfi `frnsnjni sfituhni mni `nsch `frnsnjni snjct jftcjn tcimnjni pf`kfmnhni mc`uenc .;,=  Nifstfsc spcine `frupnjni pcechni nifstfsc pnmn mnfrnh mcknwnh u`kcecjus, `csneiyn rfpncr hfricn, acifjgegac, gpfrnsc urgafictne mni gpfrnsc mc mnfrnh pfrcifu` mni afictnecn. Nifstfsc spcine jhususiyn mccimcjnscjni pnmn pnscfi enibut uscn mni pnscfi mfiani pfiynjct scstf`cj sfpfrtc pfiynjct pfrindnsni, hfpnr, rfine mni aniaauni fimgjrci (mcnkftfs `feectus). Nifstfsc spcine mcjgitrn-cimcjnscjni kcen pfrnentni mni gknt rfsusctnsc tcmnj nmfjunt, aniaauni pfrmnrnhni, hcpgvgef`cn, pnscfi `figenj, pnscfi tcmnj jggpfrntcd, sfptcjf`cn, mfdgr`ctns nintg`c,  pfiynjct ifurgegac.6 

=

 

\nmn mnsnriyn pfrscnpni uituj nifstfscn spcine sfpfrtc pfrscnpni  pnmn nifstfsc u`u`. Mnfrnh sfjctnr tf`pnt tusujni mcpfrcjsn, nmnjnh jfencini nintg`cs tuenia puiaauia ntnu pnscfi af`uj sfjnec sfhciaan tcmnj tfrnkn prgsfssus spcigsus. _fenci ctu buan hnrus mcpfrscnpjni cidgr`fm ogisfit, pf`frcjsnni dcscj mni enkgrntgrcu` ynia `fecputc hf`gaegkci, hf`ntgjrct, \] (prgthrg`kcif tc`f) mni \]] (pnnrtcne thrg`kgpenstcif tc`f). \frscnpni prf-gpfrnsc sniant pfitcia mcenjujni, sfhciaan mchnrnpjni pnscfi mcpfrscnpjni sf`njsc`ne `uiajci mni kcen tfrmnpnt pfiyuect mnpnt mcenjujni `fmcjnsc prf-gpfrnsc. ;,=  \nscfi ynia tfenh mcbnmwnejni uituj pf`kfmnhni fefjtcd u`u`iyn  kfrnmn mnen` jfnmnni gptc`ne kncj dcscj dc scj `nupui `fitne mfiani mcnaigscs mcn aigscs ynia mfdcictcd mni pfiynjct enci ynia jnmnia-jnmnia `fiyfrtnciyn sumnh tfrjfimnec mfiani kncj. Kfrkfmn mfiani pfimfrctn f`frafisc ynia `f`freujni tcimnjni kfmnh mnrurnt kncj mfiani nifstfsc u`u` ntnu rfacgine `frupnjni suntu tcimnjni ynia pfiuh mfiani rcscjg. Hne cic mcsfknkjni pfimfrctn mntnia sfonrn `fimnmnj mni pnmn u`u`iyn kfrnmn mnen` jfnmnni ynia jurnia kncj, wnjtu uituj `f`pfrkncjc jfnmnni u`u` tfrkntns, jnmnia-jnmnia suect uituj `fiantnsc pfiynjct enci mni  knhjni `f`pfrkuruj jfnmnni. ;,=  \rf`fmcjnsc pnmn nifstfsc spcine tcmnj pfreu, in`ui pnmn pnscfi tfrtfitu, mnpnt mckfrcjni kfizgmcnzfpcif sfpfrtc 6->< `a mcnzfpn` sfonrn grne ynia mckfrcjni > bn` sfkfeu` gpfrnsc. Nafi inrjgtcj mni sfmntcd mnpnt mcauinjni sfsunc jfnmnni. \f`kfrcni nitcohgecifracos sfpfrtc ntrgpcif ntnu sogpgen`cif (hygsocif) tcmnj pfreu. Nafi nifstfsc egjne mnpnt kfrupn `gefjue kfrnt (hypfrknrco), rciani (hypgknrco), mni kfkfrnpn csgknrco sfpfrtc EO_. Enrutni hypfrknrco ofimfruia `fiyfknr jfknwnh, sf`fitnrn csgknrco tcmnj mcpfianruhc gefh nrnh. Hne cic njni efkch `f`umnhjni uituj `f`pfrjcrnjni mnrc pf`njncni nafi hypfrknrco. Nafi csgknrco mnpnt mcbnmcjni hcpfrknrcj mfiani `fin`knhjni mfxtrgsf. Nafi hypgknrco pnmn u`u`iyn tcmnj mcauinjni. ;,=  _f`un pnscfi ynia njni mcenjujni tcimnjni nifstfsc spcine, sfkfeu`iyn hnrus `fimnpntjni oncrni citrnvfin. Tgeu`f oncrni ynia

6

 

mckfrcjni mcsfsuncjni mfiani uscn pnscfi mni eunsiyn kegj. _fgrnia mfwnsn `umn, sfhnt ynia njni mcenjujni rfpncr hfricn `f`kutuhjni 6
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