Epidural Labour Analgesia pada Pasien Hamil dengan Sindrom Eisenmenger
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Sindrom Eisenmenger didefinisikan sebagai hubungan abnormal antara sirkulasi sistemik dan paru berupa pirau kiri ke kanan yang berbalik menjadi kanan ke kiri akibat tingginya resistensi vaskular paru. Wanita hamil dengan sindrom Eisenmenger disarankan untuk menghentikan kehamilan, tetapi jika pasien tetap memilih untuk melanjutkan kehamilan, maka sebaiknya masuk rumah sakit pada usia kehamilan 25 minggu, bed rest selama periode sisa kehamilan, diberikan oksigen selama periode sesak napas dan dilakukan pemeriksaan analisis gas darah serial untuk mendeteksi perubahan di dalam aliran shunt. Apabila pilihan mode persalinanannya adalah persalinan normal, maka pada onset dari persalinan, dilakukan insersi kateter epidural, dilakukan pemantauan dengan monitor hemodinamik invasif dan apabila terjadi penurunan tekanan darah seharusnya segera diterapi dengan pemberian vasopressor serta setiap kehilangan darah dilakukan transfusi. Pasien seharusnya tetap di dalam rumah sakit sampai 7-14 hari setelah persalinan.
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- Foster, M.G., Jones, R.M., 1984, The anaesthetic management of the Eisenmenger syndrome, Annals of the Royal College of Surgeons of England, vol 66
- Galie N, Humbert M, Vachiery JL, Gibbs S, Lang I, Torbicki A, et alt. 2016. The Joint task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Sociaty of cardiology (ESC) and European Respiratory Society (ERS) in 2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension. European Heart Journal 37: 67-119
- Kaplan JA, Reich DL, Savino JS. 2011. Pulmonary Arterial Hypertension in Kaplan’s Cardiac Anesthesia The Echo Era. Sixth Edition. Saunders Elsevier. Page 776-784
- Montani D, Gunter S, Dorfmuller P, Perros F, Girerd B, Garcia G, et al. 2013. Pulmonary arterial hypertension. Orphanet Journal of Rare Diseases, Vol.8(97):1-28
- Bisri T, Wahjoeningsih S, Suwondo BS. 2013. Anestesi Obstetri. Komisi Pendidikan SpAnKAO. Hal 1-14
- Van Hagen, I.M., 2017, Pulmonary Hypertension and Pregnancy Outcome: Data from the Regostry of Pregnancy and Cardiac Disease of the European Society of Cardiology, Risk of Pregnancy in Women with Cardiovascular Disease; 15: 281-306
- Gaine, S., 2000, Pulmonary Hypertension, JAMA, 284(24):3160-3168. doi: 10.1001/jama.284.24.3160
- Partha, M., Popli, B., Nilofur, B., 2012., Successful Pregnancy Outcome with Eisenmenger Syndrome, The Journal of Obstetrics and Gynecology of India; 62(1):68–69 DOI 10.1007/s13224-011-0111-y
- Yuan, S.M., 2016, Eisenmenger Syndrome in Pregnancy, Braz J Cardiovasc Surg;31(4):325-9
- Elliot CA, Stewart P, Webster VJ, Mills GH, Hutchinson SP, Howarth ES et al. 2005. The use of iloprost in early pregnancy in patients with pulmonary arterial hypertension. Eur Respir J Vol.26:168-173
- Cartago R, Alan PA, Benedicto J. Pregnancy outcomes in patients with severe pulmonary hypertension and Eisenmengerization treated with sildenafil monotherapy. Chest. 2012;142(4) suppl:999A–999A
- Singh, N., Natarajan, P., Rao, P.B., George, S.K., Gnanasekar, R., 2014, Labor analgesia in Eisenmenger syndrome: Peripartum concerns, Annals of Cardiac Anaesthesia; Vol. 17:2
- Saxena, K.N., Taneja, B., 2016, Anesthetic management of a parturient with primary pulmonary hypertension with Eisenmenger’s syndrome, Journal of Obstetric Anaesthesia and Critical Care: Voll 6; IIssue 21
- Uebing, A., Steer, P.J., Yentis, S.M., Gatzoulis, M.A., 2006, Pregnancy and congenital heart disease, British Medical Journal; 332
- Yentis SM, Steer PJ, Plaat F. Eisenmenger's syndrome in pregnancy maternal and fetal mortality in the 1990s. Br J Obstet Gynaecol. 1998;105(8):921–922
- Gleicher N, Midwall J, Hochberger D, Jaffin H. Eisenmenger's syndrome and pregnancy. Obstet Gynecol Surg. 1979;34(10):721–741
- Avila WS, Grinberg M, Snitcowsky R, Faccioli R, Luz PL, Bellotti G, et al. Maternal and fetal outcome in pregnant women with Eisenmenger's syndrome. Eur Heart J. 1995; 16(4):460–464
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