skip to main content

Total Intravenous Anesthesia (TIVA) pada Bedah Jantung Koroner

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

Published: .

Citation Format:
Abstract

Bedah jantung koroner merupakan jenis operasi jantung yang paling sering dilakukan pada pasien dewasa. Pada penelitian yang dilakukan tahun 2011-2014 angka mortalitas bedah jantung koroner pada pasien dengan multipel lesi pembuluh darah sebesar 27,8%.Pasien yang dipertimbangkan untuk dilakukan bedah jantung koroner memerlukan penilaian risiko operatif, pemeriksaan menyeluruh dan manajemen perioperatif yang baik oleh dokter anestesi. Pemilihan teknik dan agen anestesia pada bedah jantung koroner telah berkembang pesat dengan tersedianya obat intravena yang memiliki durasi singkat dan mudah dititrasi seperti propofol dan remifentanyl yang memberikan efek sinergis dibandingkan penggunaan opioid dosis tinggi. Oleh karena itu, teknik total intravenous anesthesia (TIVA) mulai banyak dipilih seiring dengan perkembangan obat dan tersedianya alat seperti smart-pump infusion yang memungkinkan obat intravena untuk mencapai efek klinis yang diharapkan dan memberikan angka harapan hidup dan luaran yang lebih baik hingga beberapa tahun pascabedah.

Note: This article has supplementary file(s).

Fulltext View|Download |  common.other
Copyright Transfer Agreement
Subject
Type Other
  Download (205KB)    Indexing metadata
Keywords: anestesi; bedah jantung koroner; propofol; remifentanil; TIVA

Article Metrics:

  1. Luxford J., Bassin L. Anesthesia for Coronary Artery Bypass Graft (CABG). In: Anesthesiology. Aglio L., Urman R. ed. Springer; 2017.p.73-85
  2. Adelborg, K et al. Thirty-Year Mortality After Coronary Artery Bypasss Graft Surgery.In: Circulation: Cardiovascular Quality and Outcomes. AHA; 2017; 10: 2708
  3. Schraag, S. TIVA for Cardiac Surgery. Total Intravenous Anesthesia ad Target Controlled Infusions. Springer International Publishing AG 2017; 579-88
  4. Oh, TK, Song IA. Total Intravenous Anesthesia was associated with better Survival Outcomes After Coronary Artery Bypass Grafting: A Restrospective Cohort Study with 3-year Follow-Up in South Korea. J of Cardiothoracic and Vascular Anesthesia 2020; 1-7
  5. Barbato, E et al. Coronary-Artery Bypass Grafting. New England J Of Medicine 2016; 375(10): e22
  6. Kirali K, Sacli H. Coronary Artery Bypass Surgery.In: Coronary Artery Disease – Assessment, Surgery, Prevention.1st ed. In Tech; 2015.p 147-78
  7. Kementerian Kesehatan RI. Data Informasi Kesehatan; Gambaran Penyakit Tidak Menular di Rumah Sakit di Indonesia tahun 2009 dan 2010. 2012; 2-21
  8. Manurung, Hasiholan JHM. Mortalitas Bedah Pintas Arteri Koroner dibandingkan Intervensi Koroner Perkutan pada Stenosis Multipel Multivessel Disease Paska Intervensi Koroner Perkutan Primer. Universitas Indonesia 2016
  9. Mittnacht A, London M, Puskas J, Kaplan J. Anesthesia for Myocardial Revascularization. In: Kaplan K, Cronin B, Maus T, editors. Kaplan’s Essentials of Cardiac Anesthesia for Cardiac Surgery.2ne ed. Philadelphia: Elsevier; 2018.p.294-306
  10. Hillis DL, Smith PK, Anderso LJ et al. 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery. AHA 2011; e655-8
  11. Butterworth JF, Mackey DC, Wasnick JD. Airway management. In: Morgan & Mikhail’s Clinical anesthesiology. 6th Ed. New York: McGraw-Hill Education; 2013. p. 175-82
  12. Elif BM, Goren S, Korfali G et al. Induction of anesthesia in coronary artery bypasss graft surgery: the hemodynamice and analgesic effects of ketamine. Sao Paulo Clinics 2010; 65(2): 133-8
  13. Kim JY, Ramsay J, Licina MG, Mehta AR. In: Hensley F, Martin D, Gravlee G, editors. A Practical Approach to Cardiac Anesthesia. 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2019.p.324-32
  14. Onk D, Ayazoglu TA, et al. Comparison of TIVA and Desflurane added to a Subanesthetic Dose of Propofol in Patients Undergoing Coronary Artery Bypass Surgery: Evaluation of Haemodynamic and Stress Hormone Changes. Biomed Research Int 2016; 4-5
  15. Iao XF, Lin XM, Ni XF, et al. Volatile anesthetics versus total intravenous anesthesia in patients undergoing coronary artery bypass grafting: An updated meta-analysis and trial sequential analysis of randomized controlled trials. Plos One 14(10): e0224562
  16. Ferd EA, Lange SM, Royston D, et al. Efficacy and safety of remifentanyl in coronary artery bypass surgery: A randomized, double-blind dose comparison study. J of Cardiothoracic and Vascular Anesthesia 2003; 17(1): 60-8
  17. Chen F, Duan G, Wu Z. Comparison of the cerebroprotective effect of inhalation anaesthesia and total intravenous anaesthesia in patients undergoing cardiac surgery with cardiopulmonary bypass: a systematic review and meta-analysis. BMJ 2017; 7(10): e014629

Last update:

No citation recorded.

Last update: 2024-06-17 05:43:58

No citation recorded.