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