DOI: https://doi.org/10.14710/jai.v12i2.30041

Penatalaksanaan Anestesi pada Bedah Pintas Arteri Koroner Off-Pump

1KSM Anestesi dan Terapi Intensif RSUP Fatmawati, Jakarta, Indonesia

2SMF Anestesi dan Perawatan Intensif Pascabedah, Rumah Sakit Jantung dan Pembuluh Darah Harapan Kita, Jakarta, Indonesia

Published: 1 Jul 2020.
Open Access Copyright 2020 JAI (Jurnal Anestesiologi Indonesia)

Citation Format:
Abstract

Penyakit jantung koroner merupakan penyebab kematian terbanyak di dunia. Menurut kriteria American Heart Association (AHA) tahun 2017, lebih dari 360.000 kematian di Amerika disebabkan oleh penyakit jantung koroner setiap tahunnya. Bedah pintas arteri koroner merupakan prosedur standar tatalaksana revaskularisasi pasien dengan penyakit tiga pembuluh darah arteri koroner atau pembuluh darah arteri koroner utama kiri. Sebanyak 400.000 prosedur bedah pintas arteri koroner dilakukan di Amerika setiap tahunnya. Bedah pintas arteri koroner ini mulai dikenal sejak tahun 1950. Pada tahun 1970 hampir semua prosedur bedah pintas arteri koroner menggunakan cairan kardioplegia untuk menghentikan jantung dan mesin pintas jantung paru. Pada pertengahan tahun 1990, diperkenalkan teknik bedah pintas arteri koroner off-pump. Teknik ini memungkinkan dokter bedah melakukan anastomosis arteri koroner pada jantung yang berdetak tanpa menggunakan mesin pintas jantung paru. Tujuannya adalah untuk menghindari respons inflamasi akibat penggunaan mesin pintas jantung paru serta mengurangi risiko yang timbul akibat manipulasi aorta. Pada tahun 2002, hampir 25% bedah pintas arteri koroner di Amerika dilakukan secara off-pump. Oleh karena itu, dokter anestesi memiliki peranan penting dalam menjaga stabilitas sirkulasi selama manipulasi berlangsung, membantu pemulihan dan mobilisasi dini, menurunkan morbiditas dan mortalitas, serta mampu mengurangi biaya prosedur.

Note: This article has supplementary file(s).

Fulltext View|Download |  Research Instrument
Lampiran Gambar OPCAB submit
Subject
Type Research Instrument
  Download (940KB)    Indexing metadata
 common.other
Copyright Transfer Agreement
Subject
Type Other
  Download (137KB)    Indexing metadata
Keywords: anestesi; arteri koroner; bedah pintas arteri koroner; off-pump; penyakit jantung koroner

Article Metrics:

Article Info
Section: Literature Reviews
Language : ID
Recent articles
Perbandingan Efektivitas Antara Nebulisasi Lidokain dan Spray Lidokain untuk Mencegah Refleks Batuk pada Tindakan Bronkoskopi dengan General Anestesi Combination of Low Dose Ketamine, Paracetamol, and Tramadol for Opioid Induces Hyperalgesia in Lung Cancer with Intra Abdominal Metastases Anestesi Spinal pada Pasien Seksio Sesaria dengan Tuberkulosis Multidrug-resistant (TB MDR) Manajemen Perioperatif Operasi Arterial Switch pada Transposition of The Great Arteries with Intact Ventricular Septum Pemilihan Anestesi Regional dan Anestesi Umum Untuk Pasien COVID-19 Sebagai Upaya Mengurangi Risiko Penularan Penatalaksanaan Anestesi pada Bedah Pintas Arteri Koroner Off-Pump More recent articles
Most cited articles
Patofisiologi Penyakit Jantung Koroner Midazolam Intravena Dosis Rendah Tidak Mempengaruhi Nitric Oxide Intraperitoneal Mencit Balb/C Yang Terpapar Lipopolisakarida More cited articles
  1. Mittnacht A, London M, Puskas J, Kaplan J. Anesthesia for Myocardial Revascularization In: Kaplan J, Cronin B, Maus T, editors. Kaplan’s Essentials of Cardiac Anesthesia for Cardiac Surgery. 2nd ed. Philadelphia: Elsevier; 2018.p.322-51
  2. Shaefi S, Mittel A, Loberman D, Ramakrishna H. Off-Pump Versus On-Pump Coronary Artery Bypass Grafting—A Systematic Review and Analysis of Clinical Outcomes. J of Cardiothoracic and Vascular Anesthesia 2019; 33: 232-44
  3. Kim JY, Ramsay J, Licina MG, Mehta AR. Alternative Approaches to Cardiac Surgery With and Without Cardiopulmonary Bypass In: Hensley F, Martin D, Gravlee G, editors. A Practical Approach to Cardiac Anesthesia. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2013.p.722-81
  4. Joachim M, Manfred D. Diagnosis of Myocardial Ischemia In: Perrino A, Reeves S, editors. A Practical Approach to Transesophageal Echocardiography. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2020.p.112-28
  5. Pagel P, Freed J. Cardiac Physiology In: Kaplan J, Cronin B, Maus T, editors. Kaplan’s Essentials of Cardiac Anesthesia for Cardiac Surgery. 2nd ed. Philadelphia: Elsevier; 2018.p.62-78
  6. Wallace A. Cardiovascular Disease In: Pardo C, Miller D, editors. Basics of Anesthesia. 7th ed. Philadelphia: Elsevier; 2018.p.420-54
  7. Green M, Okum G, Horrow J. Anesthetic Management of Myocardial Revascularization In: Hensley F, Martin D, Gravlee G, editors. A Practical Approach to Cardiac Anesthesia. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2013.p.596-646
  8. Chakravarthy MR, Prabhakumar D. Anaesthesia for Off Pump Coronary Artery Bypass Grafting-The Current Concepts. Indian J of Anaesthesia 2007; 51 (4): 334-43
  9. Hirose H. Current Trend of Off-Pump Coronary Artery Bypass Grafting. [internet] 2012. [cited 2019 September 20] Available from: http://jdc.jefferson.edu
  10. Gaudino M, Angelini GD, Antoniades C, Bakaeen F, Benedetto U, Calafiore AM, et al. Off-Pump Coronary Artery Bypass Grafting: 30 Years of Debate. J of the American Heart Association 2018; 7 (16)
  11. Engelman DT, Ali WB, Williams JB, Perrault LP, Reddy VS, Arora RC, et al. Guidelines for Perioperative Care in Cardiac Surgery Enhanced Recovery After Surgery Society Recommendations. JAMA Surg 2019; 154 (8): 755-66
  12. Edmonds HL, Gordon EK, Levy WJ. Central Nervous System Monitoring In: Kaplan J, Cronin B, Maus T, editors. Kaplan’s Essentials of Cardiac Anesthesia for Cardiac Surgery. 2nd ed. Philadelphia: Elsevier; 2018.p.277-98
  13. Joo H-C, Youn Y-N, Kwak Y-L, Yi G-J, Yoo K-J. Intraoperative Epiaortic Scanning for Preventing Early Stroke After Off-Pump Coronary Artery Bypass. British J of Anaesthesia 2013; 111 (3): 374-81
  14. Puskas JD. Tips and Techniques for Multivessel OPCAB. [internet] 2006. [cited 2020 March 16] Available from: https://doi.org/10.1053/j.optechstcvs.2006.04.001
  15. Isingoma P. Ischemic Stroke Risk Reduction following Cardiac Surgery by Carotid Compression. [Thesis] California: San Diego State University; 2016
  16. Ashworth A, Klein AA. Cell Salvage as Part of Blood Conservation Strategy in Anaesthesia. British Journal of Anaesthesia 2010. 105 (4): 401-16
  17. Keeling B, Thourani V, Aliawadi G, Kim S, Cyr D, Bhadwar V, et al. Conversion from Off-Pump Coronary Artery Bypass Grafting to On-Pump Coronary Artery Bypass Grafting. Ann Thorac Surg 2017; 104: 1267-74
  18. Edgerton JR, Dewey TM, Magee MJ, Herbert MA, Prince SL, Jones KK, et al. Conversion in Off-Pump Coronary Artery Bypass Grafting: An Analysis of Predictors and Outcomes. Ann Thorac Surg 2003; 76: 1138-43
  19. Yoon SS, Bang JH, Jeong SS, Jeong JH, Woo JS. Risk Factors of On-Pump Conversion during Off-Pump Coronary Artery Bypass Graft. Korean J Thorac Cardiovasc Surg 2017; 50: 355-62
  20. Apfel CC, Turan A, Souza K, Pergolizzi J, Hornuss C. Intravenous Acetaminophen Reduces Postoperative Nausea and Vomitting: A Systematic Review and Meta-Analysis. Pain 2013; 154 (5): 677-89
  21. Nussmeier NA, Whelton AA, Brown MT, Langford RM, Hoeft A, Parlow JL, et al. Complications of the COX-2 Inhibitors Parecoxib and Valdecoxib After Cardiac Surgery. N Engl J Med 2005; 352 (11): 1081-91
  22. But AK, Erdil F, Yucel A, Gedik A, Durmus M, Ersoy MO. The Effects of Single-Dose Tramadol on Post-Operative Pain and Morphine Requirements After Coronary Artery Bypass Surgery. Acta Anaesthesiol Scand 2007; 51 (5): 601-6
  23. Borde D, Futane S, Asegaonkar B, Puranik M, Sargar S. Effect of Perioperative Pregabalin on Post-Operative Quality of Recovery in Patients Undergoing Off Pump Coronary Artery Bypass Grafting (OPCABG): A Prospective, Randomized, Double Blind Study. J of Cardiothorac Vasc Anesth 2017; 31 (4): 1241-5
  24. Liu X, Xie G, Zhang K, Song S, Song F, Jin Y, et al. Dexmedetomidine vs Propofol SEdation Reduces Delirium in Patients After Cardiac Surgery: A Meta-Analysis with Trial Sequential Analysis of Randomized Controlled Trials. J Crit Care 2017; 38: 190-6
  25. Greisen J, Nielsen DV, Sloth E, Jakobsen CJ. High Thoracic Epidural Analgesia Decreases Stress Hyperglycemia and Insulin Need in Cardiac Surgery Patients. Acta Anaesthesiol Scand 2013; 57 (2): 171-7

Last update:

No citation recorded.

Last update: 2024-11-14 05:23:26

No citation recorded.