Tatalaksana Perioperatif Ventilasi Mekanik pada Pasien dengan Gagal Jantung Kiri

*Budi Nugroho  -  SMF Anestesi dan Perawatan Intensif Pascabedah; Rumah Sakit Jantung dan Pembuluh Darah Harapan Kita; Jakarta, Indonesia
yudi hadinata  -  SMF Anestesi dan Perawatan Intensif Pascabedah; Rumah Sakit Jantung dan Pembuluh Darah Harapan Kita; Jakarta, Indonesia
Published: 1 Jul 2019.
DOI: https://doi.org/10.14710/jai.v11i2.24450 View
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Abstract

Penyakit gagal jantung merupakan suatu kondisi kelainan pada pasien dimana kemampuan pengisian dan fungsi pompa jantung mengalami gangguan.  Gagal jantung sendiri dapat terjadi secara akut atau kronis serta berpotensi mengancam jiwa.  Ketika kondisi tersebut memburuk maka dapat menyebabkan gangguan fungsi pernapasan dan perburukan kondisi hingga berakibat kematian.  Kondisi gagal jantung dapat terjadi selama tindakan perawatan perioperatif pembedahan yang membutuhkan terapi farmakologi dan terapi non farmakologi. Salah satu modalitas terapi non farmakologi yang dapat membantu fungsi pompa jantung dalam kondisi gagal jantung adalah ventilasi mekanik. Tinjauan pustaka ini akan mengulas tentang terapi perioperatif ventilasi mekanik pada pasien dengan gagal jantung.

Note: This article has supplementary file(s).

Keywords: gagal jantung kiri; gangguan fungsi pernapasan; perioperatif; pompa jantung; ventilasi mekanik
Funding: Anaesthesia Department, Pusat Jauntung Nasional RSJPD Harapan Kita

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  1. Emelia J. Benjamin, Salim S. Virani, Clifton W. Callaway, et. al. Heart Disease and Stroke Statistics-2018 update, a Report From the American Heart Association. AHA Journal of Circulation. 2018; 137:p67–p492
  2. Kirsten O. Healy MD, Carol A. Waksmonski MD, Robert K. Altman MD, et. al. Perioperative Outcome and Long-Term Mortality for Heart Failure Patients Undergoing Intermediate and High Risk Noncardiac Surgery: Impact of Left Ventricular Ejection Fraction. 2010. Congestive Heart Failure, Wiley Periodicals. Inc;16:p45-9
  3. Hensley FA, Martin DE, Gravlee GP. Cardiac anesthesia. edisi ke-5. Philadelphia:Lippincot Williams & Wilkins; 2013, p481–5
  4. Clyde W. Yancy, Marriel Jessup, Biykem Bozkurt, et. al. ACCF/AHA Guideline for the Management of Heart Failure, A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. AHA Journal of Circulation. 2013; 128: p242-p327
  5. Joel A. Kaplan, Peter D. Slinger. 3rd Edition. Thoracic Anesthesia. 2003. Churchil Livingstone, USA: 3: p57-69
  6. Judd D. Flesch MD, C. Jessica Dine MD. Lung Volumes. CHEST Journal. 2012; 142(2): p506-10
  7. Miller JD, Smith CA, Hemauer SJ, et. al. The effects of inspiratory intrathoracic pressure production on the cardiovascular response to submaximal exercise in health and chronic heart failure. Am. J. Physiol Heart Circ. Physiol. 2007; 292: p580–92
  8. Luecke T, Pelosi P. Clinical review: Positive end-expiratory pressure and cardiac output. Critical Care. 2005; 9:p607–21
  9. Tobin MJ. Extubation and the Myth of Minimal Ventilator Settings. Am. J. Respir. Crit. Care Med. 2012; 185: p349–50
  10. Romagnoli S, Ricci Z. Lung protective ventilation in Cardiac Surgery. Heart Lung Vessel. 2015; 7: p5–6
  11. Futier E, Constantin JM, Paugam Burtz C, et. al. A trial of intraoperative low-tidal-volume ventilation in abdominal surgery. N. Engl. J. Med. 2013, 369:p428–37
  12. Brower RG, Matthay MA, Morris A, et. al. The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N. Engl. J. Med. 2000; 342: p1301–08
  13. Slutsky AS, Ranieri VM. Ventilator-Induced Lung Injury. N. Engl. J. Med. 2013; 369:p2126–36
  14. Jackson RM. Pulmonary oxygen toxicity. Chest 1985; 88: p900–5
  15. Nakamura K, Murakami M, Miura D, et. al. Beta-Blockers and Oxidative Stress in Patients with Heart Failure. Pharmaceuticals 2011; 4: p1088–100

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