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Perioperatif Early Goal Directed Theraphy Pada Bedah Jantung

Departemen Anestesi dan Terapi Intensif, Rumah Sakit Umum Pusat Jantung Nasional Harapan Kita, Jakarta, Indonesia

Published: 1 Nov 2016.

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Perawatan paska bedah jantung dapat meningkatkan morbiditas dan mortalitas apabila terjadi ketidakstabilan hemodinamik. Pasien yang berhasil baik, didapatkan nilai cardiac output dan delivery oxygen yang lebih tinggi. Dengan mengenali dan mengelola lebih awal terjadinya cardiac output yang rendah, dapat menghindari kejadian hipoksia jaringan. Dengan metode Early Goal Directed Therapy, mengatur jumlah cairan dan inotropik, pengelolaan preload, afterload, dan kontraktilitas jantung dapat mempertahankan kecukupan hemodinamik. 

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Keywords: Afterload; Early Goal Directed Theraphy; hipoksia; kontraktilitas; preload

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