Download - Anestesi Inhalasi - Dr Buyung
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Anestesi InhalasiBUYUNG HARTIYO LAKSONO
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Maintenan%e
O&at anestesia 'm'm(ti)a*inhalasi+
S',,lement na!ti
.el'm,'h tt
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O&at anestesia 'm'm
#the!
Halthane
#n0'!ane
Is0'!ane
Se)0'!ane
$es0'!ane
Ba' (-+* te!&aa!* m'!ah
Ha!'m* li)e!* a!itmia
Ha!'m 2* in3al* %n
Ha!'m 2* saa! %e,at* m
Ha!'m5* saa! %e,at* m
Ha!'m22* saa! %e,at*
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CH3|
CH2
|O|
CH2|
CH3
Di-ethyl-e
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.e!&aninan si7at
6
ether halothan sevofluran desfluran
Induksi sukar mudah sangatmudah
sukar
Titik
didih36.2 50.2 58.5 22.8
Blood/gas
part.coeff12.1 2.3 0.68 0.2
Tek.uap
pada 20"60 23 160 66#
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a!mali &at-anestesia
#7e &at ,aa t'&'h
&!eathin
%i!%'latin
&!ain
li)e!
ine9
en%!ine : imm'nes9stem
#7e t'&'h ,aa &at
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.ath
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Anesthesia has a mn,l9
n ,
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Minim'm Al)ela! >n%ent!atin(MA>+
Sat' %a!a menam&a!an ,tensi OA .aa ealaman anestesia seta!a 1 MA>* 3i
ila'an insisi* ?@ ,asien masih &e!e!a
Aa! tia aa lai ,asien &e!e!a ,e!l' 1= MA>
Titi 1 MA> i%a,ai ,aa ,e!sen nsent!asi 9an
&e!&ea-&ea anta! OA %nth 1 MA> halthane aa! ?=;6@
ia %a!!ie! as i&e!i NCO ;?@* maa ,e!sennsent!asi men'!'n
%nth 1 MA> halthane aa! ?=CD@
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Minim'm Al)ela! >n%ent!atin (MA>+Knsent!asi (,e!sen+ 'nt' men%a,ai 1 MA>
1/
$2 100% &2$ '0%
(alothane 0.'6 0.2
Isoflurane 1.15 0.56
)evoflurane 2.0 0.66
*esflurane 6.0 2.8
&2$ 105%
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Anestesia men9e&a&an e,!esi7'nsi )ital
Nafas: s'm&atan 3alan na7as*
men'!ani na7as (hi,)entilasi+
henti na7as
Sirkulasi: teanan a!ah t'!'n
nai ta te!at'!
henti 3ant'n
Kesadaran: men'!'n sam,ai %ma
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#7e ,a,e!na7a
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.e!'&ahan ,>OC ai&at anestesia(hi,)entilasi+,>OC a!te!ia
#n0'!ane
Is0'!an
Haltha
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#7e ,aaa!i)as'
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#7e ,aa ta
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#mn I #e! 1D8
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#7e ,aa in3al
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#7e ,aa hati
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#7e ,aa nt!asi 'te!'s
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. 7 i i t h
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.e!7'si* nai an teanan a!ahha!'s i mnit! selama anestesia
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Mnit!in selama a
a!i !a&anai
Mata lihat na7as
Telina ena!
3ant'n
Resusitator
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.e!l' mn- teanan a!ah- #>G- s'h'- sat'!asi OC
- ealaman stai'm anest
.e!l' alat 'nt' &e!tina- !es'sitat!- eE&!ilat!- !es,i!at!
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>ATAT S#MUA OBAT
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STAG#S O #TH#R AN#STH#SIA
STAG# IF (Stae 7 analesia+ (!m analesia t lss 7%ns%i'sness+
Res,i!atin is !e'la!
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STAG# III F ( Stae 7 Anesthesia+F
.lane IF ( !m !h9thmi% !es, t %essatin 7 e9em)ement+Res,i!atin is !e'la!
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Stae IF (Stae 7 )e!se+(Me'lla!9 .a!al9sis+
A,nea
.',il ilate an nn !ea%tin t liht=
NOTE: ithdra!al of anestheti" a#ents andad$inistration of %&&' o(y#en li#htens anesthesia!ith re"o)ery*
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T#RIMA KASIHJJJ