DOI: https://doi.org/10.14710/jai.v10i3.22428

Penilaian Praoperasi Bedah Jantung

1RSUD KRMT Wongsonegoro; Semarang, Indonesia

2Bagian Anestesiologi dan Terapi Intensif; Fakultas Kedokteran; Universitas Diponegoro/ RSUP Dr. Kariadi; Semarang, Indonesia

Published: 1 Nov 2018.

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Abstract

Meskipun perkembangan ilmu kedokteran mengenai patofisiologi penyakit kardiovaskular sudah berkembang, namun penyakit ini tetap menjadi penyebab kematian terbanyak di seluruh dunia. Bedah jantung menawarkan potensi yang cukup menguntungkan bagi sebagian besar pasien. Berbagai macam cara dilakukan untuk mengoptimalkan hasil dari bedah jantung dan menurunkan tingkat mortalitas pascaoperasi. Salah satu cara yang dapat dilakukan adalah penilaian praoperasi pasien sebelum melakukan bedah jantung. Penilaian praoperasi pasien yang akan dilakukan operasi jantung meliputi empat hal utama, yaitu anamnesis, pemeriksaan fisik, pemeriksaan laboratorium, dan pemeriksaan kardiologi.Penilaian risiko diperlukan oleh dokter anestesi untuk menilai faktor-faktor risiko yang dimiliki pasien dan bagaimana pengaruhnya dengan tingkat mortalitas pasien apabila dilakukan operasi jantung. Sistem penilaian yang sering digunakan antara lain indeks risiko jantung praoperasi dari Detsky, sistem penilaian European System for Cardiac Operative Risk Evaluation (EuroSCORE), dan Cardiac Anaesthesia Risk Evaluation Score (CARE). American College of Cardiology (ACC) dan American Heart Association (AHA) menyusun sebuah algoritme mengenai pendekatan dalam pemeriksaan jantung praoperasi. Algoritme ini membantu dokter dalam memberikan informed consent dan sebagai panduan dalam manajemen perioperatif untuk meminimalkan risiko.

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Penilaian Preoperatif Bedah Jantung
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Keywords: American College of Cardiology; American Heart Association; jantung; perioperatif; praoperasi

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Section: Literature Reviews
Language : ID
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  1. Pons JMV, Espinas JA, Borras JM, Moreno V, Martin I, Granados A. Cardiac Surgical Mortality: Comparison Among Different Additive Risk-Scoring Models in a Multicenter Sample. Archives of Surgery [Internet]. 1998 Oct 1 [sebelum November 2018] ;133(10). Available from: http://archsurg.jamanetwork.com/article.aspx?doi=10.1001/archsurg.133.10.1053
  2. Estafanous FG, Barash PG, Reves JG. Principles and Practice: Preoperative anesthetic evaluation [Internet]. [Sebelum November 2018]. Available from: http://tele.med.ru/book/cardiac_anesthesia/text/es/es006.htm
  3. Charlesworth DC, Likosky DS, Marrin CA., Maloney CT, Quinton HB, Morton JR, et al. Development and validation of a prediction model for strokes after coronary artery bypass grafting. The Annals of Thoracic Surgery. 2003 Aug;76(2):436–43
  4. Anyanwu AC, Filsoufi F, Salzberg SP, Bronster DJ, Adams DH. Epidemiology of stroke after cardiac surgery in the current era. The Journal of Thoracic and Cardiovascular Surgery. 2007 Nov;134(5):1121-1127.e1
  5. Boom C. Panduan Klinis Perioperatif Kardiovaskular Anestesia. Jakarta: Komisi Pendidikan Spesialis Anestesiologi Konsultan Anestesi Kardiovascular (KAKV). Aksara Bermakna; 2013: Hal. 91-92
  6. Anaesthesia Handbook. International Committee of the Red Cross. 2017 Jan;180
  7. Hijrineli, Harahap MS, Soenarjo S. Pengaruh Asam Traneksamat pada Profil Koagulasi Pasien yang Mendapatkan Ketorolak. JAI (Jurnal Anestesiologi Indonesia) [Internet]. 2014 Mar 4 [sebelum November 2018];5(3). Available from: https://ejournal.undip.ac.id/index.php/janesti/article/view/6308
  8. Coscas R, Wagner S, Vilaine E, Sartorius A, Javerliat I, Alvarez JC, et al. Preoperative Evaluation of the Renal Function before the Treatment of Abdominal Aortic Aneurysms. Ann Vasc Surg. 2017 Apr; 40:162–9
  9. Kokudo T, Hasegawa K, Amikura K, Uldry E, Shirata C, Yamaguchi T, et al. Assessment of Preoperative Liver Function in Patients with Hepatocellular Carcinoma – The Albumin-Indocyanine Green Evaluation (ALICE) Grade. PLoS One [Internet]. 2016 Jul 19 [sebelum November 2018];11(7). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4951137/
  10. Sudhakaran S, Surani SR. Guidelines for Perioperative Management of the Diabetic Patient [Internet]. Surgery Research and Practice. 2015 [sebelum November 2018]. Available from: https://www.hindawi.com/journals/srp/2015/284063/
  11. Bock M, Johansson T, Fritsch G, Flamm M, Hansbauer B, Mann E, et al. The impact of preoperative testing for blood glucose concentration and haemoglobin A1c on mortality, changes in management and complications in noncardiac elective surgery: a systematic review. Eur J Anaesthesiol. 2015 Mar;32(3):152–9
  12. Rayfield EJ, Ault MJ, Keusch GT, Brothers MJ, Nechemias C, Smith H. Infection and diabetes: The case for glucose control. The American Journal of Medicine. 1982 Mar 1;72(3):439–50
  13. Alwi I, Setiati S, Sudoyo A, Sunoto P, Sjaharuddin H, Yamin M. Buku Ajar Penyakit Dalam. 6th ed. Jakarta: Interna Publisher; 2014
  14. Hill J, Timmis A. Exercise tolerance testing. BMJ. 2002 May 4;324(7345):1084–7
  15. Dorfman A, Odegard K, Powell A, Laussen P, Geva T. Risk Factors for Adverse Events During Cardiovascular Magnetic Resonance in Congenital Heart Disease. Journal of Cardiovascular Magnetic Resonance. 2007 Sep;9(5):793–8
  16. Gottlieb EA, Andropoulos DB. Anesthesia for the patient with congenital heart disease presenting for noncardiac surgery: Current Opinion in Anaesthesiology. 2013 Jun;26(3):318–26
  17. Diaz LK, Andropoulos DB. New Developments in Pediatric Cardiac Anesthesia. Anesthesiology Clinics of North America. 2005 Dec;23(4):655–76
  18. Kwong RY. Cardiovascular Magnetic Resonance Imaging. Springer Science & Business Media; 2008. 750 p
  19. Nashef SA, Roques F, Michel P, Gauducheau E, Lemeshow S, Salamon R. European system for cardiac operative risk evaluation (EuroSCORE). Eur J Cardiothorac Surg. 1999 Jul;16(1):9–13
  20. Estafanous G, Beck GJ, Blum JM, Paranandi L. Stratification of Morbidity and Mortality Outcome by Preoperative Risk Factors in Coronary Artery Bypass Patients. JAMA Network. 1992 May 6;5
  21. Weightman WM, Gibbs NM, Sheminant MR, Thackray NM, Newman MAJ. Risk prediction in coronary artery surgery: a comparison of four risk scores. Medical Journal of Australia. 1997;166(8):408–11
  22. Dupuis J-Y, Wang F, Nathan H, Lam M, Grimes S, Bourke M. The Cardiac Anesthesia Risk Evaluation Score A Clinically Useful Predictor of Mortality and Morbidity after Cardiac Surgery. Anesthes. 2001 Feb 1;94(2):194–204
  23. Fleisher LA, Fleischmann KE, Auerbach AD, Barnason SA, Beckman JA, Bozkurt B, et al. 2014 ACC/AHA Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery. Journal of the American College of Cardiology. 2014 Dec;64(22): e77–137
  24. Chopra V, Eagle KA. Perioperative Mischief: The Price of Academic Misconduct. The American Journal of Medicine. 2012 Oct;125(10):953–5
  25. Nishimura RA, Otto CM, Bonow RO, Carabello BA, Iii JPE, Guyton RA, et al. 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. American Heart Association. 2014 Mar 3;127

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