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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.
Open Access Copyright 2016 (JAI) Jurnal Anestesiologi Indonesia

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Abstract

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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  1. Kapoor PM et al. Early goal directed therapy in moderate to high-risk cardiac surgery patients Annals of Cardiac Anesthesia. 2008; vol 11:1. Jan-June
  2. Aya et al. Goal-directed therapy in cardiac surgery systematic review and meta-analysis. British Journal of Anaesthesia. 2013; 10:1093
  3. Hameed SM, Aird WC, Cohn SM. Oxygen Delivery. Crit Care Med. 2003; 31 (Suppl. 12): S 658-67
  4. Hensley FA. A Practical Approach to Cardiac Anesthesia 5th . Lippincott Williams&Wilkins.2013
  5. Rivers E et al. Early Goal-Directed Therapy in the treatment of severe sepsis and septic shock. The New England Journal of Medicine; 2001.345;19:1368-1377
  6. Cho WH. Update of Sepsis : Recent evidences about Early Goal Directed Theraphy. Tuberc Respir Dis 2015; 78: 156-160
  7. Wakeling HG et al. Intraoperative oesophageal doppler guided fluid management shortens postoperative hospital stay after major bowel surgery. British Journal Anaesthesia.2005; 95 (5):634-42
  8. Polonen P et al. A prospective, randomized study of Goal-Oriented Hemodynamic Therapy in Cardiac Surgical Patients. Anesthesia Analgesia. 2000; Volume 90(5) May: 1052-1059
  9. Benes et al. Intraoperative fluid optimization using stroke volume variation in hihg risk surgical patient:results of prospective randomized study. Critical Care. 2010; 14 : R118 http://www.cvphysiology.com
  10. Smetkin AA et al. Single transpulmonary thermodilution and continuos monitoring of central venous oxygen saturation during off-pump coronary surgery. The Acta Anesthesiologica Scandinavia Foundation.2009; 1-10
  11. Sakka SG et al. Comparison between intrathoracic blood volume and cardiac filling pressure in the early phase of hemodynamic instability of patiens with sepsis or septic shock. Journal of Critical Care. 1999; 14: 2 (June):78-83
  12. McLellan SA, Walsh TS. Oxygen delivery and hemoglobin. http://www.e-safe-anaesthesia.org
  13. Adler AC, Sharma R, Higgins T, McGee WT. Hemodynamic assesment and monitoring in the Intensive Care Unit : An Overview. Enliven : Journal of Anesthesiology and Critical Care Medicine. http://www.enlivenarchive.org Fouzas S et al. Pediatrics. 2011; 128:740
  14. Lee J et al. Central venous oxygen saturation in shock: A study in man. Anesthesiology. 1972; 36: 472-8
  15. Van Beest et al. Clinical Review : use of venous oxygen saturations as a goal-a yet unfinished puzzle. Critical Care. 2011;15:232
  16. Shinde SB et al. Blood Lactate Levels During Cardiopulmonary Bypass for Valvular Heart Surgery.Annals of Cardiac Anaesthesia. 2005; 8: 39-44
  17. Mythen MG, Webb AR. Perioperative Plasma Volume Expansion Reduces the Incidence of Gut Mucosal Hypoperfusion During Cardiac Surgery. Arch Surg. 1995;130:423-429
  18. McKendry M et al. Randomised controlled trial assessing the impact of a nurse delivered, flow monitored protocol for optimisation of circulatory status after cardiac surgery. BMJ. 2004;329:438
  19. Lee S, et al. Efficacy of goal-directed therapy using bioreactance cardiac output moitoring after valvular heart surgery. Yonsei Med. J. 2015 Jul;56(4):913-920

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