Analisis Anesthesia Ready Time Dalam Pelayanan Anestesi untuk Pembedahan Darurat di Kamar Operasi IGD RSUD Dr. Soetomo Surabaya Tahun 2018

*Yudha Adi Prabowo -  Bagian Anestesiologi dan Terapi Intensif, Fakultas Kedokteran, Universitas Airlangga/RSUD Dr.Soetomo Surabaya, Indonesia
April Poerwanto Basoeki -  Bagian Anestesiologi dan Terapi Intensif, Fakultas Kedokteran, Universitas Airlangga/RSUD Dr.Soetomo Surabaya, Indonesia
Teguh Sylvaranto -  Bagian Anestesiologi dan Terapi Intensif, Fakultas Kedokteran, Universitas Airlangga/RSUD Dr.Soetomo Surabaya, Indonesia
Pesta Maurid Edwar -  Bagian Anestesiologi dan Terapi Intensif, Fakultas Kedokteran, Universitas Airlangga/RSUD Dr.Soetomo Surabaya, Indonesia
Published: 1 Nov 2018.
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Section: Penelitian
Language: ID
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Analisis Anesthesia Ready Time dalam Pelayanan Anestesi untuk Operasi Darurat di Kamar Operasi IGD RSUD dr Soetomo Surabaya tahun 2018
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Analisis Anesthesia Ready Time dalam Pelayanan Anestesi untuk Operasi Darurat di Kamar Operasi IGD RSUD dr Soetomo Surabaya tahun 2018
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Abstract

Latar Belakang: Pelayanan anestesi untuk operasi darurat bertujuan memberikan kedalaman anestesi secara cepat dan adekuat untuk dilakukan pembedahan. Survei pendahuluan di kamar operasi elektif RSUD Dr. Soetomo pada Oktober hinggaDesember 2017 menunjukkan bahwa pada lebih dari 30% pasien, waktu sejak masuk kamar operasi hingga manipulasi pembedahanmencapai lebih dari 60 menit, sedangkan waktu benchmark internasional adalah kurang dari 45 menit. 

Tujuan: Untuk menganalisis Anesthesia Ready Time (ART) dalam pelayanan anestesi di kamar operasi darurat IGD RSUD Dr. Soetomo, Surabaya.

Metode: 254 subyek dengan Pasien Status (PS) ASA 1-4 yang menjalani operasi darurat di RSUD Dr. Soetomo selama April 2018 yang terlibat dalam penelitian ini. Waktu dicatat sejak pemasangan monitor, waktu induksi anestesi, waktu pemasangan prosedur invasif, dan deklarasi pasien siap dilakukan manipulasi bedah. Kesulitan dan kendala yang terjadi dari pemasangan monitor hingga deklarasi siap operasi juga dicatat.

Hasil: ART di kamar operasi darurat IGD RSUD Dr. Soetomo 24,00 menit untuk PS ASA 1;22,08 menit untuk PS ASA 2;29,03 menit untuk PS ASA 3;25,00 menit untuk PS ASA 4;23,34 menit untuk Sub Arachnoid Block (SAB); 36,67 menit untuk epidural; 21,71 menit untuk pemasangan ABP ; dan 21,25 menit untuk pemasangan Central Venous Catheter (CVC). Faktor yang mempengaruhi lamanya ART adalah menunggu kedatangan operator (42,5%), pemasangan prosedur invasif anestesi (7,3%), dan menunggu kedatangan PPDS anestesi yang lebih senior untuk mendampingi proses induksi anestesi (5,2%).

Kesimpulan: ART di kamar operasi darurat IGD RSUD Dr. Soetomo sudah mendekati benchmark internasional.

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Keywords
Anesthesia Ready Time; deklarasi siap operasi; induksi anestesi; operasi darurat; pemasangan monitor; pemasangan prosedur invasif

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