1Rumah Sakit Pusat Jantung Harap Kita, Indonesia
2Jakarta, Indonesia
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@article{JAI6413, author = {Bagus Ririh Wiyatmoko and Chairil Koto}, title = {Penatalaksanaan Anestesi Pada Total Anomalous Pulmonary Venous Drainage}, journal = {JAI (Jurnal Anestesiologi Indonesia)}, volume = {5}, number = {2}, year = {2013}, keywords = {total anomalous pulmonary venous drainage; penyakit jantung bawaan; anestesi}, abstract = { Pendahuluan: TAPVD merupakan salah satu CHD yang bersifat sianotik. TAPVD merupakan anomali vena paru kongenital yang mana tidak ada hubungan antara pembuluh darah paru dan atrium kiri; vena paru terhubung langsung ke atrium kanan atau ke vena sistemik (inominata, vena cava superior, Azygus, vena cava inferior atau vena portal) oleh jalur alternatif (vena vertikal). Karena semua darah vena kembali ke atrium kanan, sehingga kelangsungan hidup penderita tergantung pada koneksi antara atrium kiri dan kanan. Kasus: Anak laki-laki 12 tahun dengan keluhan cepat lelah dan berat badan sulit naik. Ekokardiografi menunjukkan adanya TAPVD supracardiac (ke V.inominata), ASD besar (pirau kanan ke kiri), TR mild dan PH moderate. Prinsip manajemen anestesi dengan mengurangi aliran darah ke paru melalui kontrol ventilasi dan pertimbangkan ekstubasi cepat setelah repair. Monitoring dengan CVP, LA pressure dan PA pressure sangat membantu. Hipertensi pulmonal perioperatif ditangani dengan hiperventilasi, oksigen 100%, alkalinisasi, sedasi dalam dan pelumpuh otot. }, issn = {2089-970X}, pages = {116--123} doi = {10.14710/jai.v5i2.6413}, url = {https://ejournal.undip.ac.id/index.php/janesti/article/view/6413} }
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