Cathlab CVBC OT about anesthesia in cathlab

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1. Identitas pasien : KG/ L/ 2 thn 8 bln/ 00751546/ Imed Anak Diagnosis : VSD PMO 8-10 mm L-R shunt Pr osedur : VSD closure Durasi : 2 jam Posisi : Supinasi BB TB : : 9 kg 81 cm EBV : 630 ml EBL : Minimal ABL : 150 ml TV 50-70 ml Cathlab CVBC DPJP ANESTESI : dr. Brillyan Jehosua , Sp.An -TI Residen : KEI, MFM OPERATOR : dr. David Kaunang , Sp.A (K)

2. Status fisik ASA : 3 Actual : Asymptomatic CHD (VSD PMO 8-10 mm, L-R shunt) Potensial : Intraoperative aritmia, Laryngospasm, Bronkospasm, Hypothermia, R-L shunt Teknik anestesi : GA-ETT Pasca anestesi : Ruangan Cathlab CVBC DPJP ANESTESI : dr. Brillyan Jehosua, Sp.An-TI Residen: KEI, MFM OPERATOR : dr. David Kaunang, Sp.A(K)

3. Identitas pasien : PH/ P/ 74 thn/ 00439893/ Irina A atas Diagnosis : CVI + PAD bilateral Pr osedur : RFA Durasi : 2 jam Posisi : Supinasi BB TB : : 45 kg 145 cm EBV : 3230 ml EBL : Minimal ABL : 1100 ml TV 290-380 ml Cathlab CVBC DPJP ANESTESI : dr. Brillyan Jehosua , Sp.An -TI Residen : KEI, MFM OPERATOR : dr. Rigel Paat, Sp.BTKV

4. Status fisik ASA : 3 Actual : Geriatri (CFS 3-4), Riw . CAD > 3 bulan (2015), Hipertensi terkontrol , CXR: Sugestif riwayat bronchitis, dengan suspek sekunder infeksi , Mild cardiomegaly, Echo: MR Mild, TR Mild, EF 58% Potensial : PONV (Apfel score 3), Hypothermia Teknik anestesi : RA-SAB Pasca anestesi : Ruangan Cathlab CVBC DPJP ANESTESI : dr. Brillyan Jehosua, Sp.An-TI Residen: KEI, MFM OPERATOR : dr. Rigel Paat, Sp.BTKV

5. Identitas pasien : KM/ P/ 47 thn/ 00775138/ Irina A atas Diagnosis : Ca mammae bilateral post MRM + Kemoterapi Pr osedur : TACI tahap II Durasi : 2 jam Posisi : Supinasi BB TB : : 60 kg 155 cm EBV : 3880 ml EBL : Minimal ABL : 980 ml TV 330-430 ml Cathlab CVBC DPJP ANESTESI : dr. Brillyan Jehosua, Sp.An-TI Residen: KEI, MFM OPERATOR : dr. Rigel Paat, Sp.BTKV

6. Status fisik ASA : 3 Actual : Oncologic state (Ca mammae post radioterapi + kemoterapi ), Leukopenia (3.620) Potensial : Airway compromised, PONV (Apfel score 3), Hypothermia Teknik anestesi : GA-TIVA Pasca anestesi : Ruangan Cathlab CVBC DPJP ANESTESI : dr. Brillyan Jehosua, Sp.An-TI Residen: KEI, MFM OPERATOR : dr. Rigel Paat, Sp.BTKV

7. Identitas pasien : MR/ P/ 53 thn/ 00804028/ Irina A atas Diagnosis : Malfungsi IPC longterm dextra Pr osedur : Aff IPC Durasi : 1 jam Posisi : Supinasi BB TB : : 58 kg 160 cm EBV : 3600 ml EBL : Minimal ABL : 1080 ml TV 320-330 ml Cathlab CVBC DPJP ANESTESI : dr. Brillyan Jehosua, Sp.An-TI Residen: KEI, MFM OPERATOR : dr. Rigel Paat, Sp.BTKV

8. Status fisik ASA : 2 Actual : TB paru on treatment ( pengobatan ke 5 bulan ), AKI dd CKD (Ur 80, Cr 2.8, eGFR 19ml/min), Anemia (Hb 9.3), Potensial : Airway compromised, PONV (Apfel score 3), Hypothermia, Delayed emergence Teknik anestesi : GA-TIVA Pasca anestesi : Ruangan Cathlab CVBC DPJP ANESTESI : dr. Brillyan Jehosua, Sp.An-TI Residen: KEI, MFM OPERATOR : dr. Rigel Paat, Sp.BTKV

9. Identitas pasien : RP/ L/ 67 thn/ 00812142/ Irina C2 Diagnosis : CLTI rutherford grade V cruris sinistra post debridement Pr osedur : Angiography Durasi : 2 jam Posisi : Supinasi BB TB : : 58 kg 160 cm EBV : 3600 ml EBL : Minimal ABL : 1080 ml TV 320-430 ml Cathlab CVBC DPJP ANESTESI : dr. Brillyan Jehosua, Sp.An-TI Residen: KEI, MFM OPERATOR : dr. Rigel Paat, Sp.BTKV

10. Status fisik ASA : 2 Actual : Hipertensi terkontrol (HT 165/86, dengan Amlodipine 10 mg), leukositosis (16.800), AKI AKIN II (Ur 103, Cr 2, eGFR 34), Peningkatan enzim transaminase (SGOT 101, SGPT 40), Hipo Na (131), Hipo K (3.0), Geriatri (CFS 4), Smoker(4.6 pack Years) Potensial : Airway compromised, PONV (Apfel score 3), Hypothermia, Delayed emergence Teknik anestesi : GA-TIVA Pasca anestesi : Ruangan Cathlab CVBC DPJP ANESTESI : dr. Brillyan Jehosua, Sp.An-TI Residen: KEI, MFM OPERATOR : dr. Rigel Paat, Sp.BTKV

11. Identitas pasien : JL/ L/ 58 thn/ 00821238/ Irina Edelweis 1 Diagnosis : SOL intrakranial susp meningioma Pr osedur : DSA + Embolisasi Durasi : 2 jam Posisi : Supinasi BB TB : : 66 kg 165 cm EBV : 4200 ml EBL : Minimal ABL : 1260 ml TV 340-450 ml Cathlab CVBC DPJP ANESTESI : dr. Brillyan Jehosua , Sp.An -TI Residen : KEI, MFM OPERATOR : dr. Gilbert Tangkudung , Sp.N (K)

12. Status fisik ASA : 3 Actual : Peningkatan TIK ( Penurunan kesadaran GCS E4V4M5, SOL r/ occipital dextra , MLS 5mm ke kanan ), DM tp II blm terkontrol (GDS 290), Hipertensi belum terkontrol . Potensial : Secondary brain injury, Post operative seizure, Teknik anestesi : GA-LMA Pasca anestesi : Ruangan Cathlab CVBC DPJP ANESTESI : dr. Brillyan Jehosua , Sp.An -TI Residen : KEI, MFM OPERATOR : dr. Gilbert Tangkudung , Sp.N (K)